Organization
MOORE'S PHARMACY INC.
Active
Organization
MOORE'S PHARMACY INC.
Active
Other names
Moore's Pharmacy Inc.
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) 364-1416
(361) 364-5028
Mailing address
200 S RACHAL ST, SINTON, TX 78387-2524
(361) 364-1416
(361) 364-5028
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
01945
TX
333600000X
Pharmacy
01945
TX
3336C0003X
Community/Retail Pharmacy
Primary
01945
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1209926-01
—
TX
05
—
1209926-02
—
TX
05
—
1209926-04
—
TX
01
—
750667
BCBS - HIT
TX
Enumeration date
06/18/2006
Last updated
11/07/2022
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