Individual
QINGXIANG MO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
29 EBONY CT, BROOKLYN, NY 11229-6524
(646) 508-4077
Mailing address
29 EBONY CT, BROOKLYN, NY 11229-6524
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
069328
NY
Other
Enumeration date
09/27/2022
Last updated
09/27/2022
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