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NPI Code Detail

MEDICARE: DEBORAH MARIE MOES

MEDICARE:   DEBORAH MARIE MOES
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
1183500000XPharmacistS012046AZ

General Provider Information

NPI Number : 1730414756
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEBORAH MARIE MOES
Provider Business Mailing Address
First Line : 19759 E JULIUS RD
Second Line :
City : QUEEN CREEK
State : AZ
Zip : 85142-6660
Country : US
Telephone Number : 480-830-8187
Fax Number :
Provider Business Practice Location Address
First Line : 5941 E MCKELLIPS RD
Second Line :
City : MESA
State : AZ
Zip : 85215-2754
Country : US
Telephone Number : 480-830-6343
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/08/2009
Last Update Date : 10/08/2009

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Directions to “ DEBORAH MARIE MOES ” Practice Location

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