Provider Demographics
NPI:1093069148
Name:MOYA, ARIANE (RPH)
Entity Type:Individual
Prefix:
First Name:ARIANE
Middle Name:
Last Name:MOYA
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8597 NW 2ND ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33126-8314
Mailing Address - Country:US
Mailing Address - Phone:305-457-9818
Mailing Address - Fax:
Practice Address - Street 1:7235 NW 19TH ST STE E
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33126-1224
Practice Address - Country:US
Practice Address - Phone:305-457-9818
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-27
Last Update Date:2017-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS47585183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist