# RODNEY L MOORE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Moore's Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235241613
- **Authorized official:** MR. RODNEY L MOORE R. PH. (OWNER)
- **Authorized official phone:** (601) 625-7158

## Contact information

- **Practice address:** 811 HIGHWAY 16 E, CARTHAGE, MS 39051-4245
- **Practice address phone:** (601) 267-8078
- **Practice address fax:** (601) 267-6886
- **Mailing address:** 811 HIGHWAY 16 E, CARTHAGE, MS 39051-4245
- **Mailing address phone:** (601) 267-8078
- **Mailing address fax:** (601) 267-6886

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |
| 3336C0004X | Compounding Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 08/31/2006
- **Last updated:** 01/30/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00330261 | — | MS |