MANYAN MOSS

ROANOKE, VA
NPI1306148093
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: VA  0202207062)
Enumeration Date2010-12-01
Last Update Date2010-12-01
Business Address
-- MANYAN MOSS PharmD
3971 BRAMBLETON AVE
ROANOKE, VA 24018-6402
Phone number: 540-725-3808
Mailing Address
-- MANYAN MOSS PharmD
3971 BRAMBLETON AVE
ROANOKE, VA 24018-6402
Phone number: 540-725-3808