| NPI | 1235488388 |
|---|---|
| Doing Business As | MOE'S RX CLINIC |
| Entity Type | Organization |
| Authorized Contact | MOHSEN KHORDEHFOROSH Pharmacist In Charge 704-910-1242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: NC 11351) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2012-09-05 |
| Last Update Date | 2014-11-21 |