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Contact Information

MOORE'S PHARMACY LENA LLC
1212 GRAND AVENUE
LENA, MS39094
 Phone: 601-780-2757
 Fax: 601-724-9438
 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'S PHARMACY LENA LLC

NPI Number 1568012383
LBN Legal business name MOORE'S PHARMACY LENA LLC
Authorized official BRETT MOORE - (MANAGING MEMBER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/13/2019
Last updated 09/29/2020 - About 6 years ago
Identifiers
MS Medicaid 06620077
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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