Provider Demographics
NPI:1477331205
Name:MOSKHOS, ALEXANDER JULIEN (PHARMD)
Entity Type:Individual
Prefix:
First Name:ALEXANDER
Middle Name:JULIEN
Last Name:MOSKHOS
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5757 CAPESWOOD DR
Mailing Address - Street 2:
Mailing Address - City:RANCHO PALOS VERDES
Mailing Address - State:CA
Mailing Address - Zip Code:90275-1725
Mailing Address - Country:US
Mailing Address - Phone:310-480-8605
Mailing Address - Fax:
Practice Address - Street 1:5757 CAPESWOOD DR
Practice Address - Street 2:
Practice Address - City:RANCHO PALOS VERDES
Practice Address - State:CA
Practice Address - Zip Code:90275-1725
Practice Address - Country:US
Practice Address - Phone:310-480-8605
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-21
Last Update Date:2023-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA88209183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist