# JEFFREY SABA MOON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1124311659
- **Gender:** Man
- **Credential:** PHARM.D

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 183500000X | Pharmacist | PHA-19028 | CO | Yes |
| 183500000X | Pharmacist | RPH-0010233 | OR | — |

## Other

- **Enumeration date:** 05/17/2011
- **Last updated:** 04/01/2021