Individual
JOSEPH S MOOSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
270 COPPERFIELD BLVD NE, SUITE 101, CONCORD, NC 28025-2441
(704) 784-9613
(704) 789-9366
Mailing address
PO BOX 1366, 1215 N MAIN ST, MT PLEASANT, NC 28124-1366
(704) 783-5483
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11002
NC
Other
Enumeration date
02/19/2007
Last updated
07/08/2007
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