Organization
MAGNESS MOSS PHARMACY
Active
Organization
MAGNESS MOSS PHARMACY
Active
Other names
Blount Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN BOSSIER PHARM.D. (OWNER)
(972) 832-7668
Entity
Organization
Contact information
Practice address
13290 US HIGHWAY 84 E, JOAQUIN, TX 75954
(936) 269-3922
(936) 269-9809
Mailing address
PO BOX 947, JOAQUIN, TX 75954-0947
(936) 269-3922
(936) 269-9809
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149590
—
TX
05
—
2205145
—
LA
Enumeration date
12/13/2016
Last updated
11/25/2022
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