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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