Moss, Stephen Gary
Moss, Stephen Gary is an individual health care provider with primary practice located at 124 W Main St , Rexburg ID 83440-1827. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Moss, Stephen Gary can be contacted via phone (208) 356-5416.Contact Information
Primary practice address
124 W Main St
Rexburg ID 83440-1827
Phone: (208) 356-5416
Fax: (208) 356-5653
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | P5595 | Idaho |
Profile Details
| NPI number | 1457636482 |
|---|---|
| LBN Legal business name | Moss, Stephen Gary |
| Credentials | PHARM.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 21st, 2011 |
| Last updated | Oct 21st, 2011 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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