Individual
DR. JASON MOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
14857 RANKIN AVE, DUNLAP, TN 37327-1300
(423) 949-7703
Mailing address
267 HOMELAND DR, DELANO, TN 37325-7802
(423) 544-9079
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0000036191
TN
Other
Enumeration date
10/07/2011
Last updated
10/07/2011
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