Moon Lake Pharmacy
NPI #1053500066 in New Port Richey, Florida
Provider Information
- NPI Number
- 1053500066
- Entity Type
- Organization
- Organization Name
- Moon Lake Pharmacy
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Oct 16, 2007
- Last Updated
- Oct 16, 2007
Practice Location
- Address
- 9111 RIDGE RD
- City
- New Port Richey
- State
- Florida
- ZIP Code
- 34654-5059
- Phone
- (727) 846-1800
Authorized Official
- Name
- MRS. VIVIAN ALBERTO
- Title
- PRESIDENT
- Phone
- (727) 846-1800
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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