Moghina, Jeffrey E
Moghina, Jeffrey E is an individual health care provider with primary practice located at 650 E Indian School Rd Attn: Outpatient Pharmacy, Phoenix AZ 85012-1839. He recently has 3 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, Pharmacy Service Providers / Pharmacotherapy. Pharmacy Service Providers / Pharmacotherapy is his primary health care specialty. Moghina, Jeffrey E can be contacted via phone (602) 277-5551.Contact Information
Primary practice address
650 E Indian School Rd Attn: Outpatient Pharmacy
Phoenix AZ 85012-1839
Phone: (602) 277-5551
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Pharmacy Service Providers / Pharmacist | 183500000X | 0012650 | Oregon |
Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | S018261 | Arizona |
Pharmacy Service Providers / Pharmacotherapy | 1835P1200X | 3121291 | Arizona |
Profile Details
NPI number | 1164727616 |
---|---|
LBN Legal business name | Moghina, Jeffrey E |
Credentials | PHARM.D., BCPS |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 13th, 2011 |
Last updated | Mar 18th, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1164727616 | NPPES |
Arizona | Other | S018261 | REGISTERED PHARMACIST LICENSE |
Arizona | Other | 3121291 | REGISTERED PHARMACIST LICENSE |
Arizona | Other | 0012650 | REGISTERED PHARMACIST LICENSE |
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