Organization
MOOSE PHARMACY OF KANNAPOLIS, INC
Active
Organization
MOOSE PHARMACY OF KANNAPOLIS, INC
Active
Other names
Moose Pharmacy of Kannapolis Long-Term Care
Organization subpart
No
Provider details
NPI number
Authorized official
KYLE YODER (TREASURER)
(704) 636-6340
Entity
Organization
Contact information
Practice address
1113 N MAIN ST, KANNAPOLIS, NC 28081-2256
(704) 932-9111
(704) 932-0197
Mailing address
1113 N MAIN ST, KANNAPOLIS, NC 28081-2256
(704) 932-9111
(704) 932-0197
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0805839
—
NC
01
—
3407916
NABP
NC
Enumeration date
02/01/2012
Last updated
05/15/2023
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