Moon'S Pharmacy Inc

LBN: Moon'S Pharmacy Ltc
Moon'S Pharmacy Inc is an health care organization with primary practice located at 711 2Nd St W , Tifton GA 31794-4201. The organization recently has only one registered license in Suppliers / Long Term Care Pharmacy, which is considered as the primary health care specialty. Moon'S Pharmacy Ltc can be contacted via phone (229) 256-0139, or through Maraman, Catherine M. via phone (229) 382-3711.

Contact Information

Primary practice address
711 2Nd St W Tifton GA 31794-4201
Phone: (229) 256-0139
Fax: (229) 256-0140
Website:
Map and Directions
Authorized official contact:
Name: Maraman, Catherine M. PHARMD
Phone: (229) 382-3711

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Long Term Care Pharmacy 3336L0003X PHRE008877 Georgia

Profile Details

NPI number 1922118769
LBN Legal business name Moon'S Pharmacy Ltc
DBA Doing business as Moon'S Pharmacy Inc
Authorized official Maraman, Catherine M. PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Aug 30th, 2006
Last updated Mar 26th, 2014 - about 12 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 1922118769 NPPES
Georgia MEDICAID 00003855C
Georgia Other 1152482

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