MEDICARE: RX MOOSE INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336L0003X	Long Term Care Pharmacy

General Provider Information

NPI Number	:	1053172619
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RX MOOSE INC

Provider Business Mailing Address
First Line	:	8201 CANTRELL RD STE 140
Second Line	:
City	:	LITTLE ROCK
State	:	AR
Zip	:	72227-2346
Country	:	US
Telephone Number	:	501-664-4444
Fax Number	:	501-664-7098

Provider Business Practice Location Address
First Line	:	8201 CANTRELL RD STE 140
Second Line	:
City	:	LITTLE ROCK
State	:	AR
Zip	:	72227-2346
Country	:	US
Telephone Number	:	501-664-4444
Fax Number	:	501-664-7098

Authorized Official
Title or Position	:	OWNER
Name	:	ADAM EUGENE WHEELER
Credential	:
Telephone Number	:	501-664-4444

Provider Enumeration Date	:	01/22/2024
Last Update Date	:	03/05/2026

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Directions to “RX MOOSE INC ” Practice Location

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