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1518534148
BIJAN MOGHADAM
PUEBLO, CO
NPI
1518534148
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: CO 23527)
Enumeration Date
2021-06-10
Last Update Date
2021-06-10
Business Address
BIJAN MOGHADAM pharmD
1520 W 4TH ST
PUEBLO, CO 81004-1207
Phone number: 719-404-0069
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Mailing Address
BIJAN MOGHADAM pharmD
612 E 3RD ST
FLORENCE, CO 81226-1213
Phone number: 213-255-9817
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