Moose Professional Pharmacy

LBN: Moose Drug Company
Moose Professional Pharmacy is an health care organization with primary practice located at 270 Copperfield Blvd Ne Suite 101, Concord NC 28025-2441. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Moose Drug Company can be contacted via phone (704) 784-9613, or through Moose, Joseph Steven via phone (704) 784-9613.

Contact Information

Primary practice address
270 Copperfield Blvd Ne Suite 101 Concord NC 28025-2441
Phone: (704) 784-9613
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Moose, Joseph Steven PHARMD
Phone: (704) 784-9613

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 05099 North Carolina

Profile Details

NPI number 1043317027
LBN Legal business name Moose Drug Company
DBA Doing business as Moose Professional Pharmacy
Authorized official Moose, Joseph Steven PHARMD
Entity Organization
Organization subpart 1 Yes
Enumeration date Sep 20th, 2006
Last updated May 11th, 2011 - about 15 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 1043317027 NPPES
North Carolina MEDICAID 7700860
North Carolina Other 3426245

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