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Moon's Pharmacy Ltc
Long Term Care Pharmacy in Tifton, Georgia
NPI 1922118769

Moon's Pharmacy Ltc is a Long Term Care Pharmacy based in Tifton, GA and is specialized in Long Term Care Pharmacy. Moon's Pharmacy Ltc practices in Tifton, GA. The NPI Number for Moon's Pharmacy Ltc is 1922118769 and holds a License No. PHRE008877 (Georgia).

The current practice location address for Moon's Pharmacy Ltc is 711 2Nd St W, Tifton, GA and can be reached out via phone at 229-256-0139 and via fax at 229-256-0140.

Location: 711 2Nd St W, Tifton, GA, 31794
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1922118769
Provider Name
Moon's Pharmacy Ltc
Credential
Provider Entity Type
Organization
Address
711 2Nd St W, Tifton, GA, 31794
Phone Number
229-256-0139
Fax Number
229-256-0140
Provider Enumeration Date
08/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00003855C 05 GA
1152482 01 NDCP
institution
Provider Business Practice Location Address Details
Address
711 2Nd St W
City
Tifton
State
Georgia
Zip
31794-4201
Phone Number
229-256-0139
Fax Number
229-256-0140
person
Provider Business Mailing Address Details
Address
711 2Nd St W
City
Tifton
State
Georgia
Zip
31794-4201
Phone Number
229-256-0139
Fax Number
229-256-0140
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
Long Term Care Pharmacy
Taxonomy
3336L0003X
License No.
PHRE008877 (Georgia)
Definition
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
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