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General NPI Number Information
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NPI Number | 1821497173
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Entity Type | Individual
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Provider Name | MRS. SALOSHANIE MOODLEY
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Gender | Female
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Dates
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Enumeration Date | 08/21/2014
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Last Update Date | 10/27/2015
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Provider Practice Location Address
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Address Line | 2700 W FRYE RD
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City | CHANDLER
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State | AZ
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Zip | 85224-4950
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Country | US
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Telephone | 480-899-4888
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Fax |
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Provider Business Mailing Address
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Address Line | 12875 E MERCER LN
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City | SCOTTSDALE
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State | AZ
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Zip | 85259-4454
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Country | US
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Telephone | 480-495-4028
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 014397
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License Number State | AZ
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