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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
WILLIAM O. MOORE (CREDENTIALING COORDINATOR)
(361) 364-1520
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
333600000X
Pharmacy
Primary
01945
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
750667
BCBS-HIT
TX
Enumeration date
07/05/2006
Last updated
08/22/2020
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