Organization
PHARMACON, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD D MOSS (DIRECTOR)
(954) 725-0222
Entity
Organization
Contact information
Practice address
160 SW 12TH AVE, STE 101D, DEERFIELD BEACH, FL 33442-3114
(954) 725-0222
Mailing address
160 SW 12TH AVE, STE 101D, DEERFIELD BEACH, FL 33442-3114
(954) 725-0222
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
—
—
2080P0207X
Pediatric Hematology & Oncology Physician
—
—
3336L0003X
Long Term Care Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Enumeration date
06/20/2005
Last updated
08/30/2023
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