National Provider Identifier Database

RODNEY L MOORE
Community/Retail Pharmacy

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.


Contact Information

RODNEY L MOORE
16831 HWY 21 S
SEBASTOPOL, MS39359
Phone: 601-625-7158
Fax: 601-625-9480
Website:
Specialty Taxonomy Code
* Community/Retail Pharmacy 3336C0003X

* Indicates primary specialty

NPI Profile & details for RODNEY L MOORE

NPI Number 1053524009
Legal business name
LBN
RODNEY L MOORE
Authorized official BRETT MOORE - (PHARMACY OPERATIONS MANAGER)
Entity Organization
Organization subpart No
Enumeration date 05/07/2007
Last updated 10/08/2019 - About 7 years ago
Sole proprietor1 Not specified
Identifiers
  • MS License #: 02178
  • MS Medicaid: 00030128
  • MS Other: 2511473 NCPDP

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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