MEDICARE: DR. ROHIT A MOGHE 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
1	1835P0018X	Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist	RP045471L	PA
2	1835P0018X	Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist	28RI02896400	NJ

General Provider Information

NPI Number	:	1518960731
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROHIT A MOGHE PHARM.D.

Provider Business Mailing Address
First Line	:	1717 LANGHORNE NEWTOWN RD STE 300
Second Line	:
City	:	LANGHORNE
State	:	PA
Zip	:	19047-1002
Country	:	US
Telephone Number	:	267-242-2638
Fax Number	:

Provider Business Practice Location Address
First Line	:	1201 LANGHORNE NEWTOWN RD
Second Line	:
City	:	LANGHORNE
State	:	PA
Zip	:	19047-1201
Country	:	US
Telephone Number	:	267-242-2638
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/23/2005
Last Update Date	:	02/06/2020

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