Individual
JOANNE LASHELLE MOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM. D
Contact information
Practice address
27100 WIXOM RD, NOVI, MI 48374-1115
(248) 374-0892
Mailing address
41303 SCARBOROUGH LN, NOVI, MI 48375-2893
(248) 736-4835
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302039735
MI
Other
Enumeration date
09/15/2012
Last updated
09/15/2012
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