Organization · Type 2 NPI

Rodney L Moore

Community/Retail Pharmacy · Sebastopol, MS

NPI number 1053524009 Active

Practice location

16831 Hwy 21 S
Sebastopol, MS 39359

Call (601) 625-7158 Map

Fax (601) 625-9480

Mailing address

PO Box 289
Sebastopol, MS 39359-0289

Specialties and licenses

Taxonomy	Code	License
Community/Retail Pharmacy Primary	3336C0003X	02178 (MS)

Community/Retail Pharmacy: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other …

NPI record

NPI: 1053524009
Entity type: Organization (Type 2)
Issued: May 7, 2007
Last updated: Oct 8, 2019
Status: Active

Other names

<unavail>
Moore's Pharmacy · doing business as
Moore's Pharmacy · doing business as

Authorized official

Brett C Moore, PharmD
Pharmacy Operations Manager
(601) 706-5417

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1053524009

Rodney L Moore's National Provider Identifier is 1053524009, issued on May 7, 2007. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Sebastopol, MS. The record was last updated on Oct 8, 2019.