Organization
MOORE'S PHARMACY, INC.
Active
Other names
Moore's Pharmacy Vital Care
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM MOORE (PRESIDENT)
(361) 364-1520
Entity
Organization
Contact information
Practice address
200 S RACHAL ST, SINTON, TX 78387-2524
(361) 364-1520
(361) 364-4747
Mailing address
PO BOX 5047, MERIDIAN, MS 39302-5047
(601) 482-7420
(601) 482-7490
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
01945
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4531794
NABP
TX
01
—
750667
BCBS HIT
TX
Enumeration date
07/19/2006
Last updated
08/22/2020
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