Moby Rx

LBN: Moby Rx
Moby Rx is an health care organization with primary practice located at 225 Waterman Dr , South Portland ME 04106-3634. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Moby Rx can be contacted via phone (207) 899-4600, or through Abdullayof, Momenjan via phone (207) 899-4600.

Contact Information

Primary practice address
225 Waterman Dr South Portland ME 04106-3634
Phone: (207) 899-4600
Fax: (207) 899-4613
Website:
Map and Directions
Authorized official contact:
Name: Abdullayof, Momenjan
Phone: (207) 899-4600

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PH50001426 Maine
Suppliers / Compounding Pharmacy 3336C0004X

Profile Details

NPI number 1225328669
LBN Legal business name Moby Rx
DBA Doing business as Moby Rx
Authorized official Abdullayof, Momenjan
Entity Organization
Organization subpart 1 No
Enumeration date Apr 19th, 2011
Last updated Jan 13th, 2016 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1225328669 NPPES
Other 2130568 PK

Popular Providers