NPI: 1043317027 · CONCORD, NC 28025 · Community/Retail Pharmacy · NPI assigned 09/20/2006
| Authorized Official | MOOSE, JOSEPH (OWNER) |
| Parent Organization | MOOSE DRUG COMPANY |
| NPI Enumeration Date | 09/20/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 35 | $2K |
| 2021 | 132 | $2K |