Individual
MR. JAY MOSLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
160 S VICTORY DR, LYONS, GA 30436-1444
(912) 526-8531
(912) 526-0248
Mailing address
276 COLLINS ST, LYONS, GA 30436-4703
(912) 526-8637
(912) 526-0248
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12609
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1111525
NABP #
GA
01
—
12609
STATE LICENSE #
GA
Enumeration date
12/11/2006
Last updated
07/08/2007
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