Moores Lake Pharmacy

LBN: Yashoda Inc
Moores Lake Pharmacy is an health care organization with primary practice located at 18 W Lebanon Rd , Dover DE 19901-6248. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Yashoda Inc can be contacted via phone (302) 697-0200, or through Mudunuri, Venkata via phone (302) 697-0200.

Contact Information

Primary practice address
18 W Lebanon Rd Dover DE 19901-6248
Phone: (302) 697-0200
Fax: (302) 697-8205
Website:
Map and Directions
Authorized official contact:
Name: Mudunuri, Venkata RPH
Phone: (302) 697-0200

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X A30000937 Delaware

Profile Details

NPI number 1578667523
LBN Legal business name Yashoda Inc
DBA Doing business as Moores Lake Pharmacy
Authorized official Mudunuri, Venkata RPH
Entity Organization
Organization subpart 1 No
Enumeration date Sep 12th, 2006
Last updated Sep 13th, 2012 - about 13 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 1578667523 NPPES
Delaware MEDICAID 1000038163
Delaware Other 0802327

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