Robert Moskoff
Individual provider Active NPI Pharmacy Technician · Christopher, IL
NPI 1184842585 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1184842585
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacy Technician 183700000X
- Practice address
- 4241 State Hwy 14 West
Rea Clinic Pharmacy
Christopher, IL 62822 - Phone
- (618) 724-2136
- Fax
- (618) 724-1669
- NPI assigned
- Apr 23, 2007
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 049175034 | IL | MD | Pharmacy Technician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | IL | Yes |
Addresses
Primary practice location
4241 State Hwy 14 West
Rea Clinic Pharmacy
Christopher, IL 62822
Mailing address
PO Box 155
Rea Clinic
Christopher, IL 62822
Phone (618) 724-2401
Other providers in Christopher, IL
- Gayla S Mitchell
- Lori Mohr
- Olivia B Montgomery
- Brittany Morris
- Frances Fischer Morris
- Frederica Jo Nanni
- Dennis B. Nelson
- Regan Leigh Nelson
- Amber Nicole Newman
- Brandy Norris
All providers in Christopher, IL · Pharmacy Technician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.