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Ann Childers Moss

Pharmacist in Silver Creek, GA. Individual provider (NPI-1).

NPI number1164024840
StatusActive
Last updated in NPPESNov 9, 2020

Details

NPI
1164024840
Entity type
Individual (NPI-1)
Name
Ann Childers Moss
Sex
Female
Sole proprietor
No
Enumeration date
Nov 9, 2020
Certification date
Nov 9, 2020
Last updated
Nov 9, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X Pharmacist017632GAYes

Practice location

4450 Rockmart Rd Se
Silver Creek, GA 30173-2438

Phone 706-292-0106 · Fax 706-292-0647

Mailing address

31 Bridgeview Dr Se
Rome, GA 30161-8472

Phone 706-331-0815 · Fax 706-292-0647

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