| NPI | 1912907205 |
|---|---|
| Doing Business As | MONETA PHARMACY |
| Entity Type | Organization |
| Authorized Contact | TONYA SHACKELFORD President 813-304-2221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: VA 0201003521) |
| Additional Taxonomies | 3336S0011X Pharmacy, Specialty Pharmacy |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| Enumeration Date | 2005-07-28 |
| Last Update Date | 2020-07-21 |