Moon Pharmacy INC
Pharmacy, Community/Retail Pharmacy in Hialeah, FL. Organization (NPI-2).
NPI number1457744484
StatusActive
Last updated in NPPESFeb 22, 2017
Details
- NPI
- 1457744484
- Entity type
- Organization (NPI-2)
- Legal business name
- Moon Pharmacy INC
- Organization subpart
- No
- Enumeration date
- Mar 16, 2015
- Last updated
- Feb 22, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | FL | Yes |
Practice location
8325 W 24th AveBay 11
Hialeah, FL 33016-1880
Phone 786-558-9648 · Fax 786-362-5347
Mailing address
8325 W 24th AveBay 11
Hialeah, FL 33016-1880
Phone 786-558-9648 · Fax 786-362-5347
Authorized official
Roselin Lopez
President
7865589648
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