| NPI | 1295855799 |
|---|---|
| Doing Business As | MOSSDRUGSTORE |
| Entity Type | Organization |
| Authorized Contact | THOMAS SHANE BARNES Manager 704-867-9611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NC 07051) |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2009-10-26 |