Organization
MOULTON'S PHARMACY, INC.
Active
Organization
MOULTON'S PHARMACY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD CURTIS MOULTON RPH (PRESIDENT)
(850) 682-6136
Entity
Organization
Contact information
Practice address
648 N FERDON BLVD, CRESTVIEW, FL 32536-2165
(850) 682-6136
(850) 682-6185
Mailing address
648 N FERDON BLVD, CRESTVIEW, FL 32536-2165
(850) 682-6136
(850) 682-6185
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH5000
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1024568
NABP
FL
Enumeration date
09/13/2006
Last updated
08/22/2020
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