Moore Drug Store Inc
Organization Active NPI Community/Retail Pharmacy · Ringling, OK
NPI 1598848541 · NPPES record last updated Dec 9, 2016
Key facts
- NPI
- 1598848541
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 63-5964 (OK)
- Legal business name
- MOORE DRUG STORE INC
- Practice address
- 101 W Main
Ringling, OK 73456 - Phone
- (580) 662-2366
- Fax
- (580) 662-2966
- NPI assigned
- Oct 23, 2006
- Organization subpart
- No
Authorized official
- Name
- Tom Hildebrant
- Title
- Owner
- Phone
- (580) 662-2366
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 63-5964 | OK | Yes |
| Long Term Care Pharmacy | 3336L0003X |
Addresses
Primary practice location
101 W Main
Ringling, OK 73456
Mailing address
PO Box 566
Ringling, OK 73456-0566
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100239450A | Medicaid | OK | |
| 2073235 | Other | PK |
Other names
- MOORE DRUG INC
Other providers in Ringling, OK
- Duncan Regional Hospital Inc
- Gregory Raymond Favorite
- Jefferson County Healthcare Authority
- Mercy Health Network of the Southern Region, Inc.
All providers in Ringling, OK · Community/Retail Pharmacy in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 9, 2016. 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.