NPI 1114929296

Moffettrx LLC

Organisation Community/Retail Pharmacy Meridian, MS

Practice location

Address: 2000 24th Ave, Meridian, MS 39301-3120
Phone: (601) 693-0033
Fax: (601) 693-0062

Authorised official

Name: Richard Andrew Moffett
Title: Pharmacist in Charge/Owner
Phone: (601) 693-0033

Registered specialties

Community/Retail Pharmacy Primary

Suppliers Taxonomy 3336C0003X Licence 03424-01MM (MS)

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Registry record

NPI: 1114929296
Entity type: Organization
NPI issued: 2 Jun 2005
Record last updated: 27 Apr 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.