Individual
ANGELA LEE MOSLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2545 IL ROUTE 26 S, FREEPORT, IL 61032-9370
(815) 232-8141
Mailing address
W9009 BUCKHORN RD, BROWNTOWN, WI 53522-9767
(608) 558-7747
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051290541
IL
Other
Enumeration date
10/13/2020
Last updated
10/20/2020
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