Individual
DAVID MOOSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM D
Contact information
Practice address
321 NW KINGS VALLEY HIGHWAY, DALLAS, OR 97338
(503) 420-2439
Mailing address
321 NW KINGS VALLEY HIGHWAY, DALLAS, OR 97338
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0012648
OR
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
RPH-0012648
OR
Other
Enumeration date
07/21/2014
Last updated
07/05/2018
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