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Individual

DR. TARA TA-NISHA MOSLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
130 MALLARD ST, GREENVILLE, SC 29601-4046
(864) 233-1534
(864) 233-7965
Mailing address
130 MALLARD ST, GREENVILLE, SC 29601-4046
(864) 233-1534
(864) 233-7965

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9282
SC

Other

Enumeration date
10/17/2012
Last updated
10/17/2012
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