| NPI | 1205567104 |
|---|---|
| Doing Business As | CLINT MOORE PHARMACY LTC |
| Entity Type | Organization |
| Authorized Contact | MICHAEL YUSHUVA President 561-245-6985 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2022-06-21 |
| Last Update Date | 2022-09-18 |