| NPI | 1669626164 |
|---|---|
| Doing Business As | MOOSE PHARMACY OF SALISBURY |
| Entity Type | Organization |
| Authorized Contact | KYLE YODER President 704-636-6340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NC 10174) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| Enumeration Date | 2008-11-11 |
| Last Update Date | 2010-11-18 |