Individual
CHARLES ESMOND MOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
3171 DISTRICT AVENUE, CHARLOTTESVILLE, VA 22901-2784
(434) 328-7033
Mailing address
3171 DISTRICT AVE, CHARLOTTESVILLE, VA 22901
(434) 328-7033
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202010732
VA
Other
Enumeration date
07/31/2015
Last updated
07/31/2015
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