Mooresville Pharmacy East, Llc

LBN: Mooresville Pharmacy East, Llc
Mooresville Pharmacy East, Llc is an health care organization with primary practice located at 439 E Statesville Ave , Mooresville NC 28115-2533. The organization recently has only one registered license in Suppliers / Specialty Pharmacy, which is considered as the primary health care specialty. Mooresville Pharmacy East, Llc can be contacted via phone (704) 799-6870, or through Houchins, Gavin via phone (704) 799-6870.

Contact Information

Primary practice address
439 E Statesville Ave Mooresville NC 28115-2533
Phone: (704) 799-6870
Fax: (704) 799-6871
Website:
Map and Directions
Authorized official contact:
Name: Houchins, Gavin
Phone: (704) 799-6870

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Specialty Pharmacy 3336S0011X 07707

Profile Details

NPI number 1356628937
LBN Legal business name Mooresville Pharmacy East, Llc
DBA Doing business as
Authorized official Houchins, Gavin
Entity Organization
Organization subpart 1 No
Enumeration date Nov 9th, 2011
Last updated Nov 9th, 2011 - about 13 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 1356628937 NPPES
North Carolina MEDICAID 0497129

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