Organization
RODNEY L MOORE
Active
Other names
Moore's Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RODNEY L MOORE RPH (OWNER)
(601) 625-7158
Entity
Organization
Contact information
Practice address
103 CHADWICK AVE, WALNUT GROVE, MS 39189
(601) 253-2599
(601) 253-2182
Mailing address
PO BOX 369, WALNUT GROVE, MS 39189-0369
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
02381
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00330046
—
MS
01
—
2517968
NCPDP
MS
Enumeration date
10/13/2006
Last updated
01/30/2019
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