| NPI | 1043317027 |
|---|---|
| Doing Business As | MOOSE PROFESSIONAL PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JOSEPH STEVEN MOOSE Owner 704-784-9613 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NC 05099) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2011-05-11 |