Individual
DR. CRYSTIE SHEREE MOORMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
110 KEATING RD, BATESVILLE, MS 38606-2900
(662) 578-4399
Mailing address
131 HIGHWAY 51 N, BATESVILLE, MS 38606-2358
(662) 487-6268
(662) 487-6278
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
E-010210
MS
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
E-010210
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1679868509
NPI
—
05
—
1679868509
—
MS
Enumeration date
06/20/2011
Last updated
11/04/2021
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