Organization
MED FAST PHARMACY LLC
Active
Other names
MOORES PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY MOORE RPH (PRESIDENT)
(304) 264-0300
Entity
Organization
Contact information
Practice address
1311 OLD COURTHOUSE SQ, MARTINSBURG, WV 25404
(304) 264-0300
(304) 264-0224
Mailing address
1311 EDWIN MILLER BLVD, MARTINSBURG, WV 25404-3703
(304) 264-0300
(304) 264-0224
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
MP0552313
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2111505
PK
—
05
—
6001323000
—
WV
Enumeration date
09/13/2006
Last updated
05/01/2025
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