Moore'S Pharmacy

LBN: Rodney L Moore
Moore'S Pharmacy is an health care organization with primary practice located at 811 Highway 16 E , Carthage MS 39051-4245. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Rodney L Moore can be contacted via phone (601) 267-8078, or through Moore, Rodney L via phone (601) 625-7158.

Contact Information

Primary practice address
811 Highway 16 E Carthage MS 39051-4245
Phone: (601) 267-8078
Fax: (601) 267-6886
Website:
Map and Directions
Authorized official contact:
Name: Moore, Rodney L R. PH.
Phone: (601) 625-7158

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Compounding Pharmacy 3336C0004X

Profile Details

NPI number 1235241613
LBN Legal business name Rodney L Moore
DBA Doing business as Moore'S Pharmacy
Authorized official Moore, Rodney L R. PH.
Entity Organization
Organization subpart 1 No
Enumeration date Aug 31st, 2006
Last updated Jan 30th, 2019 - 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 1235241613 NPPES
Mississippi MEDICAID 00330261

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