Ole Towne Family Pharmacy

LBN: Moffettrx Llc
Ole Towne Family Pharmacy is an health care organization with primary practice located at 2000 24Th Ave , Meridian MS 39301-3120. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Moffettrx Llc can be contacted via phone (601) 693-0033, or through Moffett, Richard Andrew via phone (601) 693-0033.

Contact Information

Primary practice address
2000 24Th Ave Meridian MS 39301-3120
Phone: (601) 693-0033
Fax: (601) 693-0062
Website:
Map and Directions
Authorized official contact:
Name: Moffett, Richard Andrew PHARMD
Phone: (601) 693-0033

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 03424-01MM Mississippi

Profile Details

NPI number 1114929296
LBN Legal business name Moffettrx Llc
DBA Doing business as Ole Towne Family Pharmacy
Authorized official Moffett, Richard Andrew PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Jun 2nd, 2005
Last updated Apr 27th, 2022 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114929296 NPPES
Other 2518629 NABP
MEDICAID 00330246 NABP

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