Moose Pharmacy Of Salisbury
LBN: Moose Pharmacy Of Salisbury Llc
Moose Pharmacy Of Salisbury is an health care organization with primary practice located at 1408 W Innes St , Salisbury NC 28144-2502. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Moose Pharmacy Of Salisbury Llc can be contacted via phone (704) 636-6340, or through Yoder, Kyle via phone (704) 636-6340.
Contact Information
Primary practice address
1408 W Innes St
Salisbury NC 28144-2502
Phone: (704) 636-6340
Fax: (704) 647-0917
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 10174 | North Carolina |
| Suppliers / Compounding Pharmacy | 3336C0004X |
Profile Details
| NPI number | 1669626164 |
|---|---|
| LBN Legal business name | Moose Pharmacy Of Salisbury Llc |
| DBA Doing business as | Moose Pharmacy Of Salisbury |
| Authorized official | Yoder, Kyle PHARMD |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 11th, 2008 |
| Last updated | Nov 18th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669626164 | NPPES |
| North Carolina | MEDICAID | 7701294 | |
| North Carolina | Other | 3412587 | |
| North Carolina | MEDICAID | 080-5530 |
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