Mack Moore Shoes
Mack Moore Shoes is a Durable Medical Equipment & Medical Supplies in Charleston, Illinois. Registered with an NPI since 2007.
- In the registry since
- 2007
Practice location Address checks out
305 W Lincoln AveCharleston, IL 61920-3020
Phone: (217) 345-3479
Fax: (217) 345-7463
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Durable Medical Equipment & Medical Supplies (primary) | Taxonomy 332B00000X |
|---|
Record details
| NPI number | 1235341173 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | William Moore — General Manager · (217) 345-3479 |
| NPI enumerated | May 4, 2007 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 305 W Lincoln Ave, Charleston, IL 61920-3020 |
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