Individual
DR. CORWYN MOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
316 W ASPEN AVE, FRUITA, CO 81521-2504
(970) 185-8014
Mailing address
1327 E CAROLINA AVE, FRUITA, CO 81521-9161
(970) 858-6584
(970) 858-9028
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15899
CO
Other
Enumeration date
09/19/2011
Last updated
09/19/2011
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