Organization
MOOSE PHARMACY OF SALISBURY
Active
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
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up