Moyes Drug Store

LBN: Moyes Drug Store Inc
Moyes Drug Store is an health care organization with primary practice located at 162 E Railroad St Se , Pelham GA 31779-2235. 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. Moyes Drug Store Inc can be contacted via phone (229) 294-4058, or through Moye, Hayden via phone (229) 294-4058.

Contact Information

Primary practice address
162 E Railroad St Se Pelham GA 31779-2235
Fax: (229) 294-1134
Website:
Authorized official contact:
Name: Moye, Hayden

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PHRE005984 Georgia

Profile Details

NPI number 1205915626
LBN Legal business name Moyes Drug Store Inc
DBA Doing business as Moyes Drug Store
Authorized official Moye, Hayden
Entity Organization
Organization subpart 1 No
Enumeration date Nov 5th, 2006
Last updated Jun 12th, 2015 - about 11 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 1205915626 NPPES
Other 2012704 PK
MEDICAID 00247849A PK

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