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
Phone: (918) 358-2524
Fax: (918) 358-2588
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1417001272 | NPPES |
Oklahoma | MEDICAID | 100811860A | |
Oklahoma | MEDICAID | 100811860B | |
Oklahoma | MEDICAID | 100811860 | |
Oklahoma | Other | 3700499 |
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