Jake Mossman, RPH
NPI #1891756185 in Taos, New Mexico
Provider Information
- NPI Number
- 1891756185
- Entity Type
- Individual
- Name
- Jake Mossman, RPH
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Pharmacist
- Credential
- RPH
- Enumeration Date
- Mar 28, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 622 PASEO DEL PUEBLO SUR
- Address 2
- 5401 NDCBU
- City
- Taos
- State
- New Mexico
- ZIP Code
- 87571-5101
- Phone
- (505) 758-3342
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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