Stephen Gary Moss, PHARM.D.

NPI #1457636482 in Rexburg, Idaho

Provider Information

NPI Number: 1457636482
Entity Type: Individual
Name: Stephen Gary Moss, PHARM.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: PHARM.D.
Enumeration Date: Oct 21, 2011
Last Updated: Oct 21, 2011

Practice Location

Address: 124 W MAIN ST
City: Rexburg
State: Idaho
ZIP Code: 83440-1827
Phone: (208) 356-5416

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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