Individual
MS. DIANNE PETREHN MOSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
721 LAKEWOOD DR, TAYLOR MILL, KY 41015-4409
(859) 359-4223
(859) 331-8304
Mailing address
721 LAKEWOOD DR, TAYLOR MILL, KY 41015-4409
(859) 359-4223
(859) 331-8304
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
010166
KY
183500000X
Pharmacist
17586
OH
Other
Enumeration date
03/06/2010
Last updated
03/06/2010
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