Mack Moore Shoes

NPI #1235341173 in Charleston, Illinois

Provider Information

NPI Number
1235341173
Entity Type
Organization
Organization Name
Mack Moore Shoes
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
May 4, 2007
Last Updated
Aug 22, 2020

Practice Location

Address
305 W LINCOLN AVE
ZIP Code
61920-3020
Phone
(217) 345-3479

Authorized Official

Name
MR. WILLIAM M MOORE II, CPED
Title
GENERAL MANAGER
Phone
(217) 345-3479

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies

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