NPI 1518417542

Edmundo Moran, CPHT

Practitioner Pharmacy Technician Orange Park, FL

Practice location

Address: 2001 Kingsley Ave, Orange Park, FL 32073-5148
Phone: (904) 639-8511
Mailing address: 8290 Gate Pkwy W Unit 1104, Jacksonville, FL 32216-3624

Registered specialties

Pharmacy Technician Primary

Pharmacy Service Providers Taxonomy 183700000X Licence RPT50964 (FL)

Other Pharmacy Technician providers in Florida →

Registry record

NPI: 1518417542
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Oct 2016
Record last updated: 13 Oct 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.