Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
MOOSE PHARMACY OF MONROE
Active
Organization
MOOSE PHARMACY OF MONROE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY LYNN MOOSE PHARMD (MANAGER/OWNER)
(704) 283-8131
Entity
Organization
Contact information
Practice address
215 E JEFFERSON ST, MONROE, NC 28112-4865
(704) 283-8131
(704) 289-1954
Mailing address
215 E JEFFERSON ST, MONROE, NC 28112-4865
(704) 283-8131
(704) 289-1954
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14278
NORTH CAROLINA BOARD OF PHARMACY LICENSE NUMBER
NC
Enumeration date
01/29/2020
Last updated
08/26/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers