# ROBERT T. MOSS, JR DBA MOSS PHARMACY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Moss Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164514196
- **Authorized official:** ROBERT T MOSS JR. PHARMACIST (OWNER/PHARMACIST)
- **Authorized official phone:** (843) 665-0289

## Contact information

- **Practice address:** 804 2ND LOOP RD STE E, FLORENCE, SC 29505-2827
- **Practice address phone:** (843) 665-0289
- **Practice address fax:** (843) 667-9964
- **Mailing address:** 804 2ND LOOP RD STE E, FLORENCE, SC 29505-2827
- **Mailing address phone:** (843) 665-0289
- **Mailing address fax:** (843) 667-9964

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 50001280 | SC | Yes |

## Other

- **Enumeration date:** 09/28/2006
- **Last updated:** 03/07/2023