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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