Provider Demographics
NPI:1487008504
Name:MORALES, JOSE RICARDO (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:JOSE
Middle Name:RICARDO
Last Name:MORALES
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:701 S OLIVE AVE
Mailing Address - Street 2:APT 1415
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33401-6104
Mailing Address - Country:US
Mailing Address - Phone:407-416-6338
Mailing Address - Fax:
Practice Address - Street 1:701 S OLIVE AVE
Practice Address - Street 2:APT 1415
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33401-6104
Practice Address - Country:US
Practice Address - Phone:407-416-6338
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-04-14
Last Update Date:2016-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS50506183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist