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NPI Code Detail

MEDICARE: EILEEN MORAN RPH

MEDICARE:   EILEEN  MORAN  RPH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist37302CA

General Provider Information

NPI Number : 1801391701
Entity Type Code : Individual
Provider Name (Legal Business Name) : EILEEN MORAN RPH
Provider Business Mailing Address
First Line : 1736 E AVENIDA DE LOS ARBOLES
Second Line :
City : THOUSAND OAKS
State : CA
Zip : 91362-1301
Country : US
Telephone Number : 805-493-8001
Fax Number : 805-493-5490
Provider Business Practice Location Address
First Line : 1736 E AVENIDA DE LOS ARBOLES
Second Line :
City : THOUSAND OAKS
State : CA
Zip : 91362-1301
Country : US
Telephone Number : 805-493-8001
Fax Number : 805-493-5490
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/24/2018
Last Update Date : 03/24/2018

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Directions to “ EILEEN MORAN RPH” Practice Location

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