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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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