Organization
POLYNESIA INC
Active
Other names
Clint Moore Pharmacy LTC
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
(561) 245-6985
(561) 237-8045
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
06/21/2022
Last updated
09/18/2022
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