Individual
DR. JEFFREY E MOGHINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D., BCPS
Contact information
Practice address
650 E INDIAN SCHOOL RD, ATTN: OUTPATIENT PHARMACY, PHOENIX, AZ 85012-1839
(602) 277-5551
Mailing address
5640 W TONOPAH DR, GLENDALE, AZ 85308-9106
(602) 277-5551
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
0012650
OR
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
S018261
AZ
1835P1200X
Pharmacotherapy Pharmacist
Primary
3121291
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0012650
REGISTERED PHARMACIST LICENSE
OR
01
—
3121291
BCPS BOARD OF PHARMACY SPECIALTIES
—
01
—
S018261
REGISTERED PHARMACIST LICENSE
AZ
Enumeration date
01/13/2011
Last updated
03/18/2020
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