OrganizationActive
Moulton'S Pharmacy, Inc.
NPI 1780789941 · Community/Retail Pharmacy · Crestview, FL
Provider details
- NPI number
- 1780789941
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Richard Moulton, President(850) 682-6136
- License
- PH5000 (FL)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
648 N Ferdon Blvd
Crestview, FL 32536-2165
Phone: (850) 682-6136
Fax: (850) 682-6185
Street-level locationGet directions
Mailing address
648 N Ferdon Blvd
Crestview, FL 32536-2165
Registry dates
- Enumerated
- 2006-09-13
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.