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Individual

MR. LARRY KEITH MOSLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
109 COURTHOUSE SQ, BAY MINETTE, AL 36507-4813
(251) 937-5539
Mailing address
1300 THOMLEY AVE, BAY MINETTE, AL 36507-4336
(251) 937-5708

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
7186
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1012892
NABP
AL
Enumeration date
05/25/2007
Last updated
07/08/2007
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