Provider Demographics
NPI:1730605494
Name:MORALES, ARMANDO ENRIQUE (PHARM D)
Entity type:Individual
Prefix:
First Name:ARMANDO
Middle Name:ENRIQUE
Last Name:MORALES
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7833 W MCRAE WAY
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85308-5926
Mailing Address - Country:US
Mailing Address - Phone:602-791-2373
Mailing Address - Fax:
Practice Address - Street 1:5954 E MCDOWELL RD
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85215-9607
Practice Address - Country:US
Practice Address - Phone:480-830-4518
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-15
Last Update Date:2017-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZS022851183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist