Individual provider · Type 1 NPI

Mitra Moaddelly

Pharmacist · Encino, CA

NPI number 1922110360 Active

Practice location

17717 Martha St
Encino, CA 91316-1145

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000XRPH50285 (CA)

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 1922110360

Mitra Moaddelly's National Provider Identifier is 1922110360, issued on Aug 31, 2006. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Encino, CA. The record was last updated on Jul 8, 2007.