Moose Pharmacy Of Kannapolis

LBN: Moose Pharmacy Of Kannapolis Inc
Moose Pharmacy Of Kannapolis is an health care organization with primary practice located at 1113 N Main St , Kannapolis NC 28081-2256. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Moose Pharmacy Of Kannapolis Inc can be contacted via phone (704) 932-9111, or through Yoder, Kyle via phone (704) 636-6340.

Contact Information

Primary practice address
1113 N Main St Kannapolis NC 28081-2256
Fax: (704) 932-0197
Website:
Authorized official contact:
Name: Yoder, Kyle

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 10588 North Carolina
Suppliers / Compounding Pharmacy 3336C0004X

Profile Details

NPI number 1194862177
LBN Legal business name Moose Pharmacy Of Kannapolis Inc
DBA Doing business as Moose Pharmacy Of Kannapolis
Authorized official Yoder, Kyle
Entity Organization
Organization subpart 1 No
Enumeration date Jan 31st, 2007
Last updated Apr 21st, 2023 - about last year

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 1194862177 NPPES
Other 2126869 PK
MEDICAID 0805839 PK

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