Moore Drug Store, Inc.

NPI #1811978083 in Kokomo, Indiana

Provider Information

NPI Number: 1811978083
Entity Type: Organization
Organization Name: Moore Drug Store, Inc.
Primary Specialty: Durable Medical Equipment & Medical Supplies
Enumeration Date: Nov 7, 2005
Last Updated: Nov 15, 2007

Practice Location

Address: 608 W MARKLAND AVE
Address 2: STE A
City: Kokomo
State: Indiana
ZIP Code: 46901-6110
Phone: (765) 454-5210

Authorized Official

Name: MS. SARAH ELIZABETH COTNER
Title: VICE-PRESIDENT
Phone: (765) 454-5210

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies - Parenteral & Enteral Nutrition — Parenteral & Enteral Nutrition	332BP3500X
Durable Medical Equipment & Medical Supplies - Oxygen Equipment & Supplies — Oxygen Equipment & Supplies	332BX2000X
Durable Medical Equipment & Medical Supplies	332B00000X	Primary

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