Individual
MR. BRADLEY L MOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2221 CLOVERDALE AVE, WINSTON SALEM, NC 27103-2301
(336) 723-4365
(336) 724-9674
Mailing address
2221 CLOVERDALE AVE, WINSTON SALEM, NC 27103-2301
(336) 723-4365
(336) 724-9674
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
7827
NC
Other
Enumeration date
06/07/2011
Last updated
06/07/2011
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