MD Moulton LLC
NPI #1336498377 in Cape Canaveral, Florida
Provider Information
- NPI Number
- 1336498377
- Entity Type
- Organization
- Organization Name
- MD Moulton LLC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Sep 6, 2012
- Last Updated
- Feb 12, 2013
Practice Location
- Address
- 8400 ASTRONAUT BLVD
- City
- Cape Canaveral
- State
- Florida
- ZIP Code
- 32920-4302
- Phone
- (321) 783-7883
Authorized Official
- Name
- MICHAEL MOULTON
- Title
- OWNER/PHARMACIST
- Phone
- (321) 783-7883
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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