Individual
DR. MOUSSA BAMBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1008 OAKLAND AVE, ROCK HILL, SC 29732-3035
(803) 980-1350
Mailing address
15119 CALLOW FOREST DR, CHARLOTTE, NC 28273-3453
(704) 972-8653
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11671
SC
Other
Enumeration date
03/05/2010
Last updated
03/05/2010
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