Organization
MOOSE PHARMACY OF SALISBURY
Active
Other names
Moose Pharmacy of Salisbury Long-Term Care
Organization subpart
No
Provider details
NPI number
Authorized official
KYLE YODER PHARMD (MANAGING MEMBER)
(704) 636-6340
Entity
Organization
Contact information
Practice address
1408 W INNES ST, SALISBURY, NC 28144-2502
(704) 636-6340
Mailing address
1408 W INNES ST, SALISBURY, NC 28144-2502
(704) 636-6340
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0805812
—
NC
Enumeration date
01/21/2016
Last updated
05/15/2023
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