# DR. MICHAEL JESSE VERDUGO

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1336231711
- **Gender:** Man
- **Credential:** PHARM.D., MS

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | LASAC-15283 | AZ | — |
| 183500000X | Pharmacist | 119588 | MN | — |
| 183500000X | Pharmacist | 12494 | AZ | — |
| 183500000X | Pharmacist | 51262 | CA | — |
| 183500000X | Pharmacist | 6179 | WV | — |
| 1835P0018X | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | APH-10147 | CA | Yes |

## Other

- **Enumeration date:** 09/29/2006
- **Last updated:** 09/28/2019