Organization
DIANA MOLDON CORPORATION
Active
Other names
MD Pharmacy & MES
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA MOLDON (OWNER)
(305) 642-5241
Entity
Organization
Contact information
Practice address
3512 DEL PRADO BLVD CHELSEA PLACE, SUITE 111, CAPE CORAL, FL 33904-7259
(305) 643-1417
(305) 642-5241
Mailing address
3512 DEL PRADO BLVD CHELSEA PLACE, SUITE 111, CAPE CORAL, FL 33904-7259
(305) 643-1417
(305) 642-5241
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
11/07/2012
Last updated
11/15/2012
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