Individual
ALI MOGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
750 E ADAMS ST, SYRACUSE, NY 13210-2306
(315) 464-5540
Mailing address
4968 BLACKSMITH PATH, LIVERPOOL, NY 13088-4704
(585) 478-9641
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
062894
NY
Other
Enumeration date
07/10/2017
Last updated
12/06/2022
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