| NPI | 1528021375 |
|---|---|
| Doing Business As | MOSS DRUG |
| Entity Type | Organization |
| Authorized Contact | ROGER DELANE PUTNAM Owner/Mgr 704-867-9611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 7051) |
| Enumeration Date | 2006-04-11 |
| Last Update Date | 2020-08-22 |