Stacey Moore
Pharmacist
111 8th St E, Tifton
Georgia, 31794-4099
229-382-4541 229-388-1909
Stacey Moore is a pharmacist in Tifton, Georgia. Patients can reach her at 111 8th St E, Tifton or contact her on 229-382-4541. Active license number of Stacey Moore is 019515 for Pharmacist in Georgia.
Stacey Moore is an individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
Complete Profile:
Stacey Moore speciality, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for enquiries.
| Name: | Stacey Moore |
| Specialization: | Pharmacist |
| Gender: | Female |
| Location: | 111 8th St E, Tifton,
Georgia, 31794-4099 |
| Phone: | 229-382-4541 |
| Fax: | 229-388-1909 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of Stacey Moore are as mentioned below.
| NPI Number: | 1942310404 |
| NPI Enumeration Date: | 30 Aug, 2006 |
| NPI Last Update On: | 27 Nov, 2020 |
Medical Licenses:
Pharmacists can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Stacey Moore are as mentioned below.
| Specialization | License Number | State | Status | |
| Pharmacist | 019515 | Georgia | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Stacey Moore such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 05012015 | Medicaid | Georgia | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 366 Goss Dr,
Ashburn, Georgia |
| Zip: | 31714-5111 |
| Phone Number: | 229-567-1161 |
Patients can reach Stacey Moore at
111 8th St E, Tifton, Georgia or can
call on phone at 229-382-4541.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.