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Organization

MOYES DRUG STORE INC

Active
Other names
MOYES DRUG STORE
Organization subpart
No

Provider details

NPI number
Authorized official
HAYDEN MOYE (PRES/CEO)
(229) 294-4058
Entity
Organization

Contact information

Practice address
162 E RAILROAD ST SE, PELHAM, GA 31779-2235
(229) 294-4058
(229) 294-1134
Mailing address
162 E RAILROAD ST SE, PELHAM, GA 31779-2235
(229) 294-4058
(229) 294-1134

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
PHRE005984
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00247849A
GA
01
2012704
PK
Enumeration date
11/05/2006
Last updated
01/20/2025
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Product
  • Claims
  • Eligibility checks
  • EDI platform