Moulton's Pharmacy of Crestview, Inc.

NPI #1871947499 in Crestview, Florida

Provider Information

NPI Number
1871947499
Entity Type
Organization
Organization Name
Moulton's Pharmacy of Crestview, Inc.
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Apr 20, 2016
Last Updated
Apr 20, 2016

Practice Location

Address
648 N FERDON BLVD
State
Florida
ZIP Code
32536-2165
Phone
(850) 682-6136

Authorized Official

Name
DOYLE WILLIAM EDMONDSON JR., RPH
Title
PRESIDENT
Phone
(850) 682-6136

Specialties & Taxonomy Codes

Specialty
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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