Individual
BIJAN MOGHADAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1520 W 4TH ST, PUEBLO, CO 81004-1207
(719) 404-0069
Mailing address
612 E 3RD ST, FLORENCE, CO 81226-1213
(213) 255-9817
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
23527
CO
Other
Enumeration date
06/10/2021
Last updated
06/10/2021
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