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:
Map and Directions
Authorized official contact:
Name: Jama, Tusmo
Phone: (612) 874-0573

Health care specialties

SpecialtyCodeLicense #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 16 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548400849 NPPES
Other 2429505 NCPDP PROVIDER IDENTIFICATION NUMBER

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