Mosheim Pharmacy INC

NPI #1710062948 in Mosheim, Tennessee

Provider Information

NPI Number
1710062948
Entity Type
Organization
Organization Name
Mosheim Pharmacy INC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Oct 26, 2006
Last Updated
Feb 15, 2012

Practice Location

Address
6766 W JOHNSON HWY
ZIP Code
37818
Phone
(423) 422-9099

Authorized Official

Name
CHARLES SUSONG, PHRMD
Title
PRESIDENT
Phone
(423) 639-8631

Specialties & Taxonomy Codes

Specialty
Pharmacy
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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