Moose Pharmacy Of Monroe LLC
Pharmacy, Long Term Care Pharmacy in Monroe, NC. Organization (NPI-2).
NPI number1316637002
StatusActive
Last updated in NPPESMay 8, 2023
Details
- NPI
- 1316637002
- Entity type
- Organization (NPI-2)
- Legal business name
- Moose Pharmacy Of Monroe LLC
- Organization subpart
- No
- Enumeration date
- May 8, 2023
- Certification date
- May 8, 2023
- Last updated
- May 8, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336L0003X | Pharmacy, Long Term Care Pharmacy | – | – | Yes |
Other names
- Moose Pharmacy Of Monroe Long-Term Care (Doing Business As)
Practice location
215 E Jefferson StMonroe, NC 28112-4865
Phone 704-283-8131 · Fax 704-289-1954
Mailing address
215 E Jefferson StMonroe, NC 28112-4865
Phone 704-283-8131 · Fax 704-289-1954
Authorized official
Ashley Lynn Moose
Pharmacy Owner
7042838131
Is something wrong?
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