Individual
DR. MICHELLE D MOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
24800 S 4420 RD, VINITA, OK 74301-5544
(918) 713-5541
Mailing address
PO BOX 69, VINITA, OK 74301-0069
(918) 713-5541
(918) 256-6490
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12852
OK
Other
Enumeration date
10/28/2011
Last updated
08/16/2019
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