Provider Demographics
NPI:1316491335
Name:MOYA APTEKA INC.
Entity type:Organization
Organization Name:MOYA APTEKA INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:JULIA
Authorized Official - Middle Name:
Authorized Official - Last Name:PASSARELLA
Authorized Official - Suffix:
Authorized Official - Credentials:PHARM D
Authorized Official - Phone:630-282-6003
Mailing Address - Street 1:1S210 SUMMIT AVE
Mailing Address - Street 2:
Mailing Address - City:OAKBROOK TERRACE
Mailing Address - State:IL
Mailing Address - Zip Code:60181-3933
Mailing Address - Country:US
Mailing Address - Phone:630-282-6003
Mailing Address - Fax:
Practice Address - Street 1:1S210 SUMMIT AVE
Practice Address - Street 2:
Practice Address - City:OAKBROOK TERRACE
Practice Address - State:IL
Practice Address - Zip Code:60181-3933
Practice Address - Country:US
Practice Address - Phone:630-282-6003
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-08
Last Update Date:2017-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy