Provider Demographics
NPI:1407275001
Name:MUGUERZA, JAVIER (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:JAVIER
Middle Name:
Last Name:MUGUERZA
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 1:115 PERIMETER CENTER PL NE
Mailing Address - Street 2:SUITE 700
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30346-1249
Mailing Address - Country:US
Mailing Address - Phone:770-379-2800
Mailing Address - Fax:
Practice Address - Street 1:50 HARRISON ST
Practice Address - Street 2:SUITE 114
Practice Address - City:HOBOKEN
Practice Address - State:NJ
Practice Address - Zip Code:07030-6064
Practice Address - Country:US
Practice Address - Phone:201-420-6686
Practice Address - Fax:201-604-7900
Is Sole Proprietor?:No
Enumeration Date:2014-04-10
Last Update Date:2014-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI034612001835P1200X
FLPS405321835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy