MEDICARE: MOSES MBUGUA KAMAU

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	183500000X	Pharmacist	76083	CA

General Provider Information

NPI Number	:	1598271710
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MOSES MBUGUA KAMAU

Provider Business Mailing Address
First Line	:	1700 W MAYFIELD RD APT A
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76015-2849
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	12826 PHILADELPHIA ST STE C
Second Line	:
City	:	WHITTIER
State	:	CA
Zip	:	90601-4117
Country	:	US
Telephone Number	:	562-846-1005
Fax Number	:

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

Provider Enumeration Date	:	12/26/2017
Last Update Date	:	12/26/2017

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Directions to “ MOSES MBUGUA KAMAU ” Practice Location

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