Provider Demographics
NPI:1649927161
Name:MORERA, ADRIAN MANUEL (PHARMD)
Entity type:Individual
Prefix:DR
First Name:ADRIAN
Middle Name:MANUEL
Last Name:MORERA
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 1:101437 OVERSEAS HWY
Mailing Address - Street 2:
Mailing Address - City:KEY LARGO
Mailing Address - State:FL
Mailing Address - Zip Code:33037-4505
Mailing Address - Country:US
Mailing Address - Phone:305-542-0567
Mailing Address - Fax:
Practice Address - Street 1:101437 OVERSEAS HWY
Practice Address - Street 2:
Practice Address - City:KEY LARGO
Practice Address - State:FL
Practice Address - Zip Code:33037-4505
Practice Address - Country:US
Practice Address - Phone:305-451-5338
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-04
Last Update Date:2022-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS63708183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLPS63708OtherBOARD OF PHARMACY