Healthcare Provider Details

I. General information

NPI: 1255261178
Provider Name (Legal Business Name): IULIAN MOLOCEA PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/21/2026
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1830 S HORNE
MESA AZ
85204-5771
US

IV. Provider business mailing address

1830 S HORNE
MESA AZ
85204-5771
US

V. Phone/Fax

Practice location:
  • Phone: 800-562-6223
  • Fax:
Mailing address:
  • Phone: 800-562-6223
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberS023630
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: