Healthcare Provider Details

I. General information

NPI: 1659293652
Provider Name (Legal Business Name): SUZANNE MOYER PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: SUZANNE MARGARET WATKINS

II. Dates (important events)

Enumeration Date: 07/29/2026
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8780 N ARROYA GRANDE DR
PHOENIX AZ
85028-5300
US

IV. Provider business mailing address

8780 N ARROYA GRANDE DR
PHOENIX AZ
85028-5300
US

V. Phone/Fax

Practice location:
  • Phone: 602-787-6120
  • Fax:
Mailing address:
  • Phone: 602-787-6120
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number051-288922
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberS016994
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: