Organization
MOON PHARMACY INC
Active
Organization
MOON PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSELIN LOPEZ (PRESIDENT)
(786) 558-9648
Entity
Organization
Contact information
Practice address
8325 W 24TH AVE, BAY 11, HIALEAH, FL 33016-1880
(786) 558-9648
(786) 362-5347
Mailing address
8325 W 24TH AVE, BAY 11, HIALEAH, FL 33016-1880
(786) 558-9648
(786) 362-5347
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
FL
Other
Enumeration date
03/16/2015
Last updated
02/22/2017
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