Organization
MOOSE PHARMACY OF MT HOLLY LLC
Active
Organization
MOOSE PHARMACY OF MT HOLLY LLC
Active
Other names
Moose Pharmacy of Mount Holly Long-Term Care
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDI M GRIST PHARMD (PHARMACY OWNER/MANAGER)
(704) 827-2211
Entity
Organization
Contact information
Practice address
125 W CENTRAL AVE, MOUNT HOLLY, NC 28120-1616
(704) 827-2211
(704) 827-7134
Mailing address
125 W CENTRAL AVE, MOUNT HOLLY, NC 28120-1616
(704) 827-2211
(704) 827-7134
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
05/08/2023
Last updated
05/11/2023
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