Rodney L Moore in Carthage - Compounding Pharmacy

Rodney L Moore - NPI 1235241613

Rodney L Moore is a Compounding Pharmacy in Carthage, Mississippi. Rodney L Moore practices all healthcare services and medical treatments related to Compounding Pharmacy. The NPI Number for Rodney L Moore is 1235241613. The last update date is 2019-01-30.

Rodney L Moore's current location address is 811 Highway 16 E, Carthage, Mississippi. You can contact this provider via phone number 6012678078 and fax number 6012676886. The mailing address for Rodney L Moore is 811 Highway 16 E, Carthage, Mississippi. To know further, please read the information below!

Provider Profile Detail

Provider Organization Rodney L Moore
Address 811 Highway 16 E, Carthage, Mississippi
Phone Number 6012678078
Fax Number 6012676886
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Moore L Rodney
Credentials R. PH.
Telephone Number 6016257158

NPI Number Detail

NPI Number 1235241613
Provider Enumeration Date 2006-08-31
Last Updated Date 2019-01-30

Provider Mailing Address Detail

Address 811 Highway 16 E
City Carthage
State Mississippi (MS)
Post Code 390514245
Phone Number 6012678078
Fax Number 6012676886

Provider's Primary Taxonomy Detail

Speciality Compounding Pharmacy
Taxonomy 3336C0004X
Definition:
A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional pract

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
330261 MS --

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FAQs about Rodney L Moore

What is the unique identifier code issued to Rodney L Moore by the Centers for Medicare & Medicaid Services (CMS)?

The Rodney L Moore has been assigned the NPI (National Provider Identifier) 1235241613. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you kindly provide the complete physical address where Rodney L Moore's facilities are geographically located?

The facilities of Rodney L Moore are physically situated at the following location: 811 Highway 16 E, Carthage, MS, 390514245.

What is the Rodney L Moore's area of specialization and corresponding taxonomy classification?

The Rodney L Moore's specialty field is Compounding Pharmacy, and it falls under the taxonomy code 3336C0004X, which categorizes healthcare providers based on their specialties.

On what date was the 1235241613 assigned to Rodney L Moore?

The Rodney L Moore was issued its 1235241613 on 2006-08-31, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information pertaining to Rodney L Moore most recently updated or revised?

The details related to Rodney L Moore, including its address, specialty, and other relevant information, were last updated or revised on 2019-01-30.

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