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Organization

MOORESVILLE ON-SITE PHARMACY LLC

Active
Other names
Mooresville Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
STEVE HAIBER (ASSISTANT SECRETARY)
(480) 403-3504
Entity
Organization

Contact information

Practice address
1000 LOWES BLVD, MOORESVILLE, NC 28117-8520
(704) 757-1760
(704) 757-0851
Mailing address
1000 LOWES BLVD, MOORESVILLE, NC 28117-8520
(704) 757-1760
(704) 757-0851

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
10339
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3416193
NCPDP PROVIDER IDENTIFICATION NUMBER
Enumeration date
08/18/2009
Last updated
01/10/2012
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