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NPI Code Detail

MEDICARE: DR. ASHLEY MORITA PHARMD

MEDICARE: DR. ASHLEY MORITA PHARMD
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
1183500000XPharmacist74511CA

General Provider Information

NPI Number : 1093163370
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ASHLEY MORITA PHARMD
Provider Business Mailing Address
First Line : 3257 E VIA MONTE VERDI AVE
Second Line :
City : CLOVIS
State : CA
Zip : 93619-8388
Country : US
Telephone Number : 559-708-1824
Fax Number :
Provider Business Practice Location Address
First Line : 2020 E COPPER AVE
Second Line :
City : FRESNO
State : CA
Zip : 93730-5402
Country : US
Telephone Number : 559-433-1290
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/27/2016
Last Update Date : 05/27/2016

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