Provider Demographics
NPI:1053326884
Name:HAJI, MOJGAN SANEPOUR (RPH)
Entity Type:Individual
Prefix:MRS
First Name:MOJGAN
Middle Name:SANEPOUR
Last Name:HAJI
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:48 RAWSON HILL DR
Mailing Address - Street 2:
Mailing Address - City:SHREWSBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01545-1500
Mailing Address - Country:US
Mailing Address - Phone:508-845-2514
Mailing Address - Fax:
Practice Address - Street 1:1 CHESTNUT PL
Practice Address - Street 2:10 CHESTNUT STREET
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01608-2898
Practice Address - Country:US
Practice Address - Phone:508-368-9916
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA22243183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist