Individual
ANN L MOISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
400 ANSIN BLVD STE A, HALLANDALE BEACH, FL 33009-3104
(305) 919-7399
Mailing address
827 NW 10TH ST, HALLANDALE BEACH, FL 33009-2113
(229) 296-3294
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
PS56467
FL
183500000X
Pharmacist
Primary
PS61822
FL
3336C0003X
Community/Retail Pharmacy
—
FL
Other
Enumeration date
10/28/2020
Last updated
10/29/2020
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