Organization
MOOSE DRUG COMPANY
Active
Other names
MOOSE DRUG COMPANY
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM MOOSE JR. RPH (OWNER PHARMACY MANAGER)
(704) 436-9613
Entity
Organization
Contact information
Practice address
8374 W FRANKLIN ST, MT PLEASANT, NC 28124-8812
(704) 436-9613
(704) 436-6512
Mailing address
PO BOX 67, MT PLEASANT, NC 28124-0067
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
05395
NC
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0135046
—
NC
01
—
3409237
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
08/30/2006
Last updated
08/31/2020
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up