Provider Demographics
NPI:1053146928
Name:MOORE, LYNN CHOREY SR (PHARMD)
Entity type:Individual
Prefix:DR
First Name:LYNN
Middle Name:CHOREY
Last Name:MOORE
Suffix:SR
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1601 OLD GREENSBORO RD STE B
Mailing Address - Street 2:
Mailing Address - City:KERNERSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27284-6855
Mailing Address - Country:US
Mailing Address - Phone:800-323-6832
Mailing Address - Fax:855-270-7347
Practice Address - Street 1:1601 OLD GREENSBORO RD STE B
Practice Address - Street 2:
Practice Address - City:KERNERSVILLE
Practice Address - State:NC
Practice Address - Zip Code:27284-6855
Practice Address - Country:US
Practice Address - Phone:800-323-6832
Practice Address - Fax:855-270-7347
Is Sole Proprietor?:No
Enumeration Date:2024-09-03
Last Update Date:2024-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC13888183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist