Organization
BLUE MOON PHARMACY & DISCOUNT CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADRIAN PADRON (PRESIDENT)
(786) 483-8667
Entity
Organization
Contact information
Practice address
7884 NW 52ND ST, DORAL, FL 33166-4742
(786) 483-8667
(786) 483-8669
Mailing address
7884 NW 52ND ST, DORAL, FL 33166-4742
(786) 483-8667
(786) 483-8669
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
FL
Other
Enumeration date
09/18/2013
Last updated
05/11/2015
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