Organization
POLYNESIA INC.
Active
Other names
Clint Moore Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL YUSHUVA (PRESIDENT)
(561) 245-6985
Entity
Organization
Contact information
Practice address
1906 CLINT MOORE RD STE 4, BOCA RATON, FL 33496-2663
(561) 245-6985
(561) 237-8045
Mailing address
1906 CLINT MOORE RD STE 4, BOCA RATON, FL 33496-2663
Taxonomy
Speciality
Code
Description
License number
State
3336M0002X
Mail Order Pharmacy
Primary
—
—
Other
Enumeration date
11/17/2022
Last updated
11/17/2022
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