| Doctor Name: | PAULA TRINCHELL MOORE |
| NPI Number: | 1104165257 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PHARM.D. |
| License Number: | P-010062 |
| Business Practice Address: | 576 Jefferson Ave Fhc Fort Eustis, VA - 236041373 |
| Business Phone Number: | 7573147500 |
| Business Fax Number: | 7573147655 |
| Mailing Address: | 576 Jefferson Ave, Fhc FORT EUSTIS |
| State: | VA |
| Postal Code: | 236041373 |
| Phone Number: | 7573147500 |
| Fax Number: | 7573147655 |
| NPI Enumeration Date: | 02/10/2013 |
| NPI Last Update Date: | 06/13/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1835P0018X |
| License Number: | P-010062 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MS |
| Taxonomy Type: | Pharmacy Service Providers |
| Taxonomy Classification: | Pharmacist |
| Taxonomy Specialization: | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Taxonomy Definition: | Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |