Individual
GINA MARIE MOSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.PH.
Contact information
Practice address
110 KEITH ST SW STE 1, CLEVELAND, TN 37311-5868
(423) 614-6650
(423) 614-6652
Mailing address
PO BOX 5450, CLEVELAND, TN 37320-5450
(423) 413-8532
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9250
TN
Other
Enumeration date
10/19/2012
Last updated
10/26/2023
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