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Contact Information

MOORE DRUG STORE INC
101 W MAIN
RINGLING, OK73456
 Phone: 580-662-2366
 Fax: 580-662-2966
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Long Term Care Pharmacy

3336L0003X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for MOORE DRUG STORE INC

NPI Number 1598848541
LBN Legal business name MOORE DRUG STORE INC
Authorized official TOM HILDEBRANT - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/23/2006
Last updated 12/09/2016 - About 9 years ago
Identifiers
OK License # 63-5964
OK Medicaid 100239450A
Other 2073235 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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