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General NPI Number Information
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NPI Number | 1477570364
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Entity Type | Organization
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Legal Business Name | MOYES PHARMACY INC
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Dates
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Enumeration Date | 07/16/2006
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Last Update Date | 12/04/2025
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Provider Practice Location Address
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Address Line | 3798 HIGHWAY 42
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City | LOCUST GROVE
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State | GA
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Zip | 30248-3632
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Country | US
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Telephone | 770-957-6004
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Fax | 770-914-0961
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Provider Business Mailing Address
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Address Line | PO BOX 580
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City | MCDONOUGH
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State | GA
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Zip | 30253-0580
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Country | US
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Telephone | 770-957-6004
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Fax | 770-914-0961
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Authorized Official
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Title or Position | PHARMACIST/OWNER
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Name | LOREN B PIERCE
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Credential | RPH
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Telephone | 770-957-6004
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 7732
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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