Moulton Family Medicine is not a DME supplier for medicare equipments and products.
Moulton Family Medicine is a Non-pharmacy Dispensing Site in Lake Forest, California. This organization is also known as sub part of Medvantx, Inc.. It is located at 22611 Lake Forest Dr, C-4, Lake Forest and it's customer support contact number is 949-951-9399. The authorized person of Moulton Family Medicine is Kenny Heine who is Director Of Operations of the pharmacy and his contact number is 858-625-2990. Active license number of Moulton Family Medicine is A47792 for Non-pharmacy Dispensing Site in California. Moulton Family Medicine is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
Pharmacy Details:
Moulton Family Medicine type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
Name:
Moulton Family Medicine
Type:
Non-pharmacy Dispensing Site
Location:
22611 Lake Forest Dr, C-4, Lake Forest, California, 92630-1700
Phone:
949-951-9399
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
Name:
Kenny Heine
Position:
Director Of Operations
Contact Number:
858-625-2990
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
NPI Number:
1164564712
Parent Organization:
Medvantx, Inc.
NPI Enumeration Date:
12 Feb, 2007
NPI Last Update On:
17 Oct, 2012
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Moulton Family Medicine are as mentioned below.
Specialization
License Number
State
Status
Non-pharmacy Dispensing Site
A47792
California
Primary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
5626 Oberlin Dr, Suite 110 San Diego, California
Zip:
92121-1705
Phone Number:
--
Fax Number:
--
Patients can reach Moulton Family Medicine at 22611 Lake Forest Dr, C-4, Lake Forest, California or can call on customer care at 949-951-9399.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.
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