Individual
DR. KELSEY MOSES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
10727 W OLIVE AVE, PEORIA, AZ 85345-9202
(623) 815-8074
(623) 876-4124
Mailing address
10727 W OLIVE AVE, PEORIA, AZ 85345-9202
(623) 815-8074
(623) 876-4124
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S020720
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
183500000X
—
AZ
Enumeration date
09/02/2014
Last updated
09/02/2014
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