Individual
ALISSA MOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
115 S 29TH ST, FORT DODGE, IA 50501-2906
(515) 576-5329
Mailing address
115 S 29TH ST, FORT DODGE, IA 50501-2906
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
24792
IA
Other
Enumeration date
08/15/2023
Last updated
08/15/2023
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