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Organization
MOORE'S PHARMACY, INC.
Active
Organization
MOORE'S PHARMACY, INC.
Active
Other names
moore's pharmacy vital care
Organization subpart
No
Provider details
NPI number
Authorized official
KELBY DAIN GORMAN RPH (PRESIDENT)
(361) 853-2061
Entity
Organization
Contact information
Practice address
200 S RACHAL ST, SINTON, TX 78387-2524
(361) 364-1520
(361) 364-4747
Mailing address
200 S RACHAL ST, SINTON, TX 78387-2524
(361) 364-1520
(361) 364-4747
Taxonomy
Speciality
Code
Description
License number
State
3336M0002X
Mail Order Pharmacy
Primary
01945
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0135691-01
—
TX
05
—
1209926-01
—
TX
05
—
1209926-02
—
TX
05
—
1209926-04
—
TX
01
—
750667
BCBS HIT
TX
Enumeration date
07/19/2006
Last updated
11/07/2022
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