Moose Pharmacy Of Mt. Holly

LBN: Moose Pharmacy Of Mt Holly Llc
Moose Pharmacy Of Mt. Holly is an health care organization with primary practice located at 125 W Central Ave , Mount Holly NC 28120. 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 Mt Holly Llc can be contacted via phone (704) 827-2211, or through Yoder, Kyle via phone (704) 827-2211.

Contact Information

Primary practice address
125 W Central Ave Mount Holly NC 28120
Phone: (704) 827-2211
Fax: (704) 827-7134
Website:
Map and Directions
Authorized official contact:
Name: Yoder, Kyle PHARMD
Phone: (704) 827-2211

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 13746 North Carolina
Suppliers / Compounding Pharmacy 3336C0004X

Profile Details

NPI number 1437648334
LBN Legal business name Moose Pharmacy Of Mt Holly Llc
DBA Doing business as Moose Pharmacy Of Mt. Holly
Authorized official Yoder, Kyle PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date May 7th, 2018
Last updated May 18th, 2018 - about 6 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 1437648334 NPPES
Other 2177554 PK
MEDICAID PENDING PK

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