Organization
MOORE DRUG STORE, INC.
Active
Organization
MOORE DRUG STORE, INC.
Active
Other names
Moore's Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SARAH ELIZABETH COTNER (VICE-PRESIDENT)
(765) 454-5210
Entity
Organization
Contact information
Practice address
608 W MARKLAND AVE, STE A, KOKOMO, IN 46901-6110
(765) 454-5210
(765) 454-5209
Mailing address
608 W MARKLAND AVE, STE A, KOKOMO, IN 46901-6110
(765) 454-5210
(765) 454-5209
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
Other
Enumeration date
11/07/2005
Last updated
11/15/2007
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