Individual provider · Type 1 NPI
Broderick Moore, PharmD
Pharmacist · Tempe, AZ
Practice location
4816 S Ash Ave Ste 101
Tempe, AZ 85282-7735
Mailing address
3765 E Old Stone Cir S
Chandler, AZ 85249-5793
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacist Primary | 183500000X | S025893 (AZ) |
Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…
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About NPI 1629781653
Broderick Moore, PharmD's National Provider Identifier is 1629781653, issued on Jan 4, 2023. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Tempe, AZ. The record was last updated on Jan 4, 2023.