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Individual

DR. JASON M MOSS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD, CPP

Contact information

Practice address
803 TILGHMAN DR STE 100, DUNN, NC 28334
(910) 892-1091
Mailing address
3705 ARBOR DR, RALEIGH, NC 27612-4302

Taxonomy

Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
700152
NC
1835P1200X
Pharmacotherapy Pharmacist
19819
NC

Other

Enumeration date
05/27/2010
Last updated
07/12/2018
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