Palace Drug Store

LBN: Moore Healthcare, Inc.
Palace Drug Store is an health care organization with primary practice located at 301 N Broadway St , Cleveland OK 74020-3421. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Parenteral & Enteral Nutrition, Suppliers / Oxygen Equipment & Supplies, Suppliers / Community/Retail Pharmacy. Suppliers / Durable Medical Equipment & Medical Supplies is the primary health care specialty. Moore Healthcare, Inc. can be contacted via phone (918) 358-2524, or through Moore, Gregory P via phone (918) 358-2587.

Contact Information

Primary practice address
301 N Broadway St Cleveland OK 74020-3421
Fax: (918) 358-2588
Website:
Authorized official contact:
Name: Moore, Gregory P

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X Oklahoma
Suppliers / Parenteral & Enteral Nutrition 332BP3500X 52-4094 Oklahoma
Suppliers / Oxygen Equipment & Supplies 332BX2000X 52-S-1138 Oklahoma
Suppliers / Community/Retail Pharmacy 3336C0003X 52-4094 Oklahoma

Profile Details

NPI number 1417001272
LBN Legal business name Moore Healthcare, Inc.
DBA Doing business as Palace Drug Store
Authorized official Moore, Gregory P
Entity Organization
Organization subpart 1 No
Enumeration date Jan 22nd, 2007
Last updated Feb 7th, 2022 - about 3 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 1417001272 NPPES
Oklahoma MEDICAID 100811860A
Oklahoma MEDICAID 100811860B
Oklahoma MEDICAID 100811860
Oklahoma Other 3700499

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