Organization
MOORE'S PHARMACY LENA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRETT CHAPIN MOORE PHARMD (MANAGING MEMBER)
(601) 706-5417
Entity
Organization
Contact information
Practice address
1212 GRAND AVENUE, LENA, MS 39094
(601) 780-2757
(601) 724-9438
Mailing address
PO BOX 80, LENA, MS 39094-0080
(601) 780-2757
(601) 724-9438
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06620077
—
MS
Enumeration date
09/13/2019
Last updated
09/29/2020
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