MOULTON'S PHARMACY, INC.
Suppliers at Ferdon Blvd, Crestview, FL

License number
Florida PH5000
Category
Suppliers
Type
Community/Retail Pharmacy
Owner
Name: RICHARD CURTIS MOULTON RPH
Title: PRESIDENT
Phone: (850) 682-6136
Address
Address
648 N Ferdon Blvd, Crestview, FL 32536
National Provider ID: 1780789941
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about MOULTON'S PHARMACY, INC. at bizstanding.com

MOULTON'S PHARMACY, INC

648 N Ferdon Blvd, Crestview, FL 32536

Status:
Inactive
Inactive reason:
AMENDMENT
Registration:
Jun 24, 2002
Inactive since:
May 23, 2005
Phone:
(850) 682-6136 (Phone)
State ID:
P02000069957
Business type:
Florida Profit Corporation
Treasurer, Secretary, Vice Presidents:
Richard C Moulton (President), 648 N Ferdon Blvd, Crestview, FL 32536 (Physical),Gloria M Moulton (Treasurer, Secretary, Vice President), 648 N Ferdon Blvd, Crestview, FL 32536 (Physical)
Agent:
Richard Moulton,648 N Ferdon Blvd, Crestview, FL 32536 (Physical)
EIN:
30-0090155

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