Healthsmart Pharmacy (East)
LBN: Mooresville Pharmacy East Llc
Healthsmart Pharmacy (East) is an health care organization with primary practice located at 594 N Main St , Mooresville NC 28115-2328. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Mooresville Pharmacy East Llc can be contacted via phone (704) 799-6870, or through Houchins, Gavin Michael via phone (704) 799-6870.
Contact Information
Primary practice address
594 N Main St
Mooresville NC 28115-2328
Phone: (704) 799-6870
Fax: (704) 799-6871
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | 7707 | North Carolina |
| Suppliers / Community/Retail Pharmacy | 3336C0003X | ||
| Suppliers / Long Term Care Pharmacy | 3336L0003X | 07707 | North Carolina |
Profile Details
| NPI number | 1336222801 |
|---|---|
| LBN Legal business name | Mooresville Pharmacy East Llc |
| DBA Doing business as | Healthsmart Pharmacy (East) |
| Authorized official | Houchins, Gavin Michael |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 20th, 2006 |
| Last updated | Mar 7th, 2023 - about 3 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 | 1336222801 | NPPES |
| North Carolina | MEDICAID | 0497129 | |
| North Carolina | Other | 3438276 | |
| North Carolina | MEDICAID | 7N7707 | |
| North Carolina | MEDICAID | 7703285 |
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