Provider Demographics
NPI:1033446513
Name:MOGAPI, DINEO M (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:DINEO
Middle Name:M
Last Name:MOGAPI
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6212 CALLOWAY DR
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75070-9426
Mailing Address - Country:US
Mailing Address - Phone:972-540-9975
Mailing Address - Fax:972-548-8917
Practice Address - Street 1:1651 W UNIVERSITY DR
Practice Address - Street 2:WALGREENS PHARMACY
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75069-3445
Practice Address - Country:US
Practice Address - Phone:972-548-1662
Practice Address - Fax:972-548-9817
Is Sole Proprietor?:No
Enumeration Date:2009-11-04
Last Update Date:2009-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX46993183500000X
WAPH00047625183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist