Individual
DOUGLAS WAYNE MOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
356 WV HIGHWAY 5 E, GLENVILLE, WV 26351-7602
(304) 462-8300
(304) 462-0324
Mailing address
356 WV HIGHWAY 5 E, GLENVILLE, WV 26351-7602
(304) 462-8300
(304) 462-0324
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
183500000X
WV
Other
Enumeration date
10/05/2012
Last updated
10/05/2012
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