Organization
MOORE'S PHARMACY, INC.
Active
Other names
moore's pharmacy vital care
Organization subpart
No
Provider details
NPI number
Authorized official
KELBY DAIN GORMAN RPH (PRESIDENT)
(361) 853-2061
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
3336M0002X
Mail Order Pharmacy
Primary
01945
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0135691-01
—
TX
05
—
1209926-01
—
TX
05
—
1209926-02
—
TX
05
—
1209926-04
—
TX
01
—
750667
BCBS HIT
TX
Enumeration date
07/19/2006
Last updated
11/07/2022
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