Organization
PHARMACON, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD D MOSS PHARMD (COO)
(954) 725-0222
Entity
Organization
Contact information
Practice address
160 SW 12TH AVE, DEERFIELD BEACH, FL 33442-3119
(888) 327-2233
(888) 439-4453
Mailing address
3769 STEWART AVE, MIAMI, FL 33133-6732
(305) 582-7303
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
—
—
2080P0206X
Pediatric Gastroenterology Physician
Primary
—
—
2080P0207X
Pediatric Hematology & Oncology Physician
—
—
333600000X
Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Enumeration date
12/19/2023
Last updated
05/16/2025
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