Individual
PARISSA MOGHIMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
515 22ND AVE, MONROE, WI 53566-1569
(608) 324-2000
Mailing address
2010 JEFFY TRL APT 202, MADISON, WI 53719-5158
(623) 202-1620
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18196-40
WI
Other
Enumeration date
08/14/2018
Last updated
08/14/2018
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