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NPI Code Detail

MEDICARE: JAZMIN MORENO PHARM.D.

MEDICARE:   JAZMIN  MORENO  PHARM.D.
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
1183500000XPharmacistS020721AZ

General Provider Information

NPI Number : 1053729103
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAZMIN MORENO PHARM.D.
Provider Business Mailing Address
First Line : 8301 W CAMELBACK RD
Second Line :
City : PHOENIX
State : AZ
Zip : 85037-1257
Country : US
Telephone Number : 623-849-4278
Fax Number : 623-849-5437
Provider Business Practice Location Address
First Line : 8301 W CAMELBACK RD
Second Line :
City : PHOENIX
State : AZ
Zip : 85037-1257
Country : US
Telephone Number : 623-849-4278
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/31/2014
Last Update Date : 12/19/2022

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Directions to “ JAZMIN MORENO PHARM.D.” Practice Location

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