Organization
MOORES PHARMACY LLC
Active
Other names
MOORES PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
REGINALD MOORE BS (OWNER PHARMACIST)
(205) 907-3840
Entity
Organization
Contact information
Practice address
3041 ENSLEY 5 POINTS W AVE STE D, BIRMINGHAM, AL 35208-2719
(205) 785-4223
(205) 785-4225
Mailing address
3041 ENSLEY 5 POINTS W AVE STE D, BIRMINGHAM, AL 35208-2719
(205) 785-4223
(205) 785-4225
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
112873
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100003748
—
AL
01
—
1995953
PK
—
Enumeration date
11/01/2006
Last updated
04/19/2017
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