Individual
CHARLOTTE K MOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
4375 RED ROCK RD, BENTON, PA 17814-7948
(570) 925-2500
Mailing address
80 HOLMES RD, STILLWATER, PA 17878-9219
(570) 441-9603
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP439100
PA
Other
Enumeration date
10/04/2017
Last updated
10/04/2017
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