Provider Demographics
NPI:1922718915
Name:MOORE, BRIA (PHARM D)
Entity type:Individual
Prefix:MRS
First Name:BRIA
Middle Name:
Last Name:MOORE
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:MRS
Other - First Name:BRIA
Other - Middle Name:
Other - Last Name:MOORE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:111 WESTGATE RD
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70506-2710
Mailing Address - Country:US
Mailing Address - Phone:337-232-5506
Mailing Address - Fax:
Practice Address - Street 1:4001 CANAL ST
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70119-6020
Practice Address - Country:US
Practice Address - Phone:504-483-2486
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-30
Last Update Date:2025-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX75149183500000X
LAPST.024629183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist