Moultrie Pharmacy is an authorized DME supplier for medicare equipments and products.
Moultrie Pharmacy is a Community/Retail Pharmacy in St Augustine, Florida. This pharmacy is owned and operated by Moultrie Pharmacy Inc. It is located at 3690 Us Highway 1 S, St Augustine and it's customer support contact number is 904-794-1399. The authorized person of Moultrie Pharmacy is Delaine Mccarty who is Owner of the pharmacy and his contact number is 904-794-1399. Active license number of Moultrie Pharmacy is PH19146 for Community/Retail Pharmacy in Florida. Moultrie Pharmacy accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance. Moultrie Pharmacy is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Pharmacy Details:
Moultrie Pharmacy type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
Name:
Moultrie Pharmacy
Type:
Community/Retail Pharmacy
Location:
3690 Us Highway 1 S, St Augustine, Florida, 32086-6498
Phone:
904-794-1399
Fax:
904-794-1193
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
Name:
Delaine Mccarty
Position:
Owner
Contact Number:
904-794-1399
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
NPI Number:
1740270099
NPI Enumeration Date:
27 Oct, 2005
NPI Last Update On:
29 Mar, 2017
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Moultrie Pharmacy are as mentioned below.
Specialization
License Number
State
Status
Community/Retail Pharmacy
PH19146
Florida
Primary
Pharmacy
Secondary
Compounding Pharmacy
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
025956000
Medicaid
Florida
025956001
Medicaid
Florida
2015438
Other
Pk
686878996
Medicaid
Florida
Medicare Enrollment:
Moultrie Pharmacy is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
PAC ID:
Enrollment ID:
Org Name
Medicare Entity Type
2961617857
O20100930098350
Moultrie Pharmacy Inc
DME SUPPLIER - PHARMACY
2961617857
O20141023002495
Moultrie Pharmacy Inc
PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY)
Products Available:
Moultrie Pharmacy has following products available for sale under medicare.
Products
Blood Glucose Monitors & Supplies: Non-mail Order
Canes & Crutches
Enteral Nutrients
Nebulizer Equipment & Supplies
Ostomy Supplies
Surgical Dressings
Walkers
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
3690 Us Highway 1 S, St Augustine, Florida
Zip:
32086-6498
Phone Number:
904-794-1399
Fax Number:
904-794-1193
Patients can reach Moultrie Pharmacy at 3690 Us Highway 1 S, St Augustine, Florida or can call on customer care at 904-794-1399.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.
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