Moka Pharmacy Inc
LBN: Moka Pharmacy Inc
Moka Pharmacy Inc is an health care organization with primary practice located at 1515 E Franklin Ave , Minneapolis MN 55404-2137. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Clinic Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Moka Pharmacy Inc can be contacted via phone (612) 874-0575, or through Jama, Tusmo via phone (612) 874-0573.
Contact Information
Primary practice address
1515 E Franklin Ave
Minneapolis MN 55404-2137
Phone: (612) 874-0575
Fax: (612) 874-0582
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Suppliers / Clinic Pharmacy | 3336C0002X | ||
Suppliers / Community/Retail Pharmacy | 3336C0003X | 263331 | Minnesota |
Profile Details
NPI number | 1548400849 |
---|---|
LBN Legal business name | Moka Pharmacy Inc |
DBA Doing business as | Moka Pharmacy Inc |
Authorized official | Jama, Tusmo |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Feb 26th, 2009 |
Last updated | Apr 29th, 2009 - about 15 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1548400849 | NPPES |
Other | 2429505 | NCPDP PROVIDER IDENTIFICATION NUMBER |
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