Provider Demographics
NPI:1932962529
Name:MOORE'S PHARMACY, INC.
Entity Type:Organization
Organization Name:MOORE'S PHARMACY, INC.
Other - Org Name:MOORES PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KELBY
Authorized Official - Middle Name:DAIN
Authorized Official - Last Name:GORMAN
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:361-853-2061
Mailing Address - Street 1:200 S RACHAL ST
Mailing Address - Street 2:
Mailing Address - City:SINTON
Mailing Address - State:TX
Mailing Address - Zip Code:78387-2524
Mailing Address - Country:US
Mailing Address - Phone:361-364-1416
Mailing Address - Fax:
Practice Address - Street 1:200 S RACHAL ST
Practice Address - Street 2:
Practice Address - City:SINTON
Practice Address - State:TX
Practice Address - Zip Code:78387-2524
Practice Address - Country:US
Practice Address - Phone:361-364-1416
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-05
Last Update Date:2024-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy