Mary A Mosher, PHARM.D.
Individual provider Active NPI Pharmacist · Mount Vernon, IA
NPI 1689862393 · NPPES record last updated Oct 9, 2007
Key facts
- NPI
- 1689862393
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 20661 (IA)
- Practice address
- 113 1St Street E.
Mount Vernon, IA 52314 - Phone
- (319) 895-6248
- NPI assigned
- Oct 9, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20661 | IA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 20661 | IA | Yes |
Addresses
Primary practice location
113 1St Street E.
Mount Vernon, IA 52314
Mailing address
113 1St Street E.
Mount Vernon, IA 52314
Phone (319) 895-6248
Other providers in Mount Vernon, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 9, 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.