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Contact Information

MOORE FAMILY STORES INC.
104 COURT HOUSE SQ
TOLEDO, IL62468
 Phone: 217-849-2666
 Fax: 217-849-2015
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for MOORE FAMILY STORES INC.

NPI # 1326061284
LBN Legal business name MOORE FAMILY STORES INC.
Authorized official TRENT MOORE - (OWNER/PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 07/25/2006
Last updated 06/20/2022 - About 4 years ago
Identifiers
IL License # 054020330
Other 2016686 PK
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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