Organization
MOES RX CLINIC INC
Active
Other names
MOE'S RX CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
MOHSEN KHORDEHFOROSH PHARM.D (PHARMACIST IN CHARGE)
(704) 910-1242
Entity
Organization
Contact information
Practice address
1711 CENTRAL AVE, CHARLOTTE, NC 28205-5107
(704) 910-1242
(704) 910-1350
Mailing address
1711 CENTRAL AVE, CHARLOTTE, NC 28205-5107
(704) 910-1242
(704) 910-1350
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
11351
NC
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2136744
PK
—
Enumeration date
09/05/2012
Last updated
11/21/2014
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