Moose Compounding Pharmacy

LBN: Moose Drug Company
Moose Compounding Pharmacy is an health care organization with primary practice located at 270 Copperfield Blvd Ne Ste 101 , Concord NC 28025-2443. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Moose Drug Company can be contacted via phone (704) 792-2555, or through Moose, Joseph via phone (704) 792-2555.

Contact Information

Primary practice address
270 Copperfield Blvd Ne Ste 101 Concord NC 28025-2443
Phone: (704) 792-2555
Fax: (704) 789-9366
Website:
Map and Directions
Authorized official contact:
Name: Moose, Joseph PHARMD
Phone: (704) 792-2555

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 09216 North Carolina
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1124060942
LBN Legal business name Moose Drug Company
DBA Doing business as Moose Compounding Pharmacy
Authorized official Moose, Joseph PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Jun 13th, 2006
Last updated Dec 30th, 2010 - about 14 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 1124060942 NPPES
Other 3405049 NCPDP PROVIDER IDENTIFICATION NUMBER

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