Organization · Type 2 NPI
Moon's Pharmacy LTC
Long Term Care Pharmacy · Tifton, GA
NPI number
1922118769
Active
Practice location
711 2nd St W
Tifton, GA 31794-4201
Fax (229) 256-0140
Mailing address
717 B W 2nd St
Tifton, GA 31794
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Long Term Care Pharmacy Primary | 3336L0003X | PHRE008877 (GA) |
Long Term Care Pharmacy: A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
Other long term care pharmacy providers in Tifton
About NPI 1922118769
Moon's Pharmacy LTC's National Provider Identifier is 1922118769, issued on Aug 30, 2006. The primary taxonomy on file is Long Term Care Pharmacy (3336L0003X), and the practice location is in Tifton, GA. The record was last updated on Mar 26, 2014.