Moe Drugs LLC
Organization Active NPI Community/Retail Pharmacy · Three Lakes, WI
NPI 1104285907 · NPPES record last updated Feb 20, 2017
Key facts
- NPI
- 1104285907
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 9400-42 (WI)
- Legal business name
- MOE DRUGS LLC
- Practice address
- 1790 Superior St
Three Lakes, WI 54562-9046 - Phone
- (715) 546-3266
- Fax
- (715) 546-2912
- NPI assigned
- Feb 22, 2016
- Organization subpart
- No
Authorized official
- Name
- Seth Moe
- Title
- Pharmd
- Phone
- (920) 639-1384
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 9400-42 | WI | Yes |
Addresses
Primary practice location
1790 Superior St
Three Lakes, WI 54562-9046
Mailing address
1790 Superior St
Three Lakes, WI 54562-9046
Phone (715) 546-3266
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2158870 | Other | PK | |
| 100055480 | Medicaid | WI |
Other names
- Three Lakes Pharmacy
Other providers in Three Lakes, WI
- Linden Fraser
- Elizabeth A Kuhn
- Lakes Dental Services, Inc.
- Linderud Apothecaries LLC
- William C. Martineau
- Seth Moe
- Jean Frances Reed
- Three Lakes School District
- Madalyn Mae Volkmann
- Kellie Wedig
All providers in Three Lakes, WI · Community/Retail Pharmacy in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 20, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.