Individual
ANDREW MOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
577 MEADOW ST., CHICOPEE, MA 01013-3120
(413) 592-4696
Mailing address
577 MEADOW ST, CHICOPEE, MA 01013-1876
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH234648
MA
Other
Enumeration date
07/24/2013
Last updated
11/06/2013
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