Provider Demographics
NPI:1306226998
Name:MOSER, ZACHARY (PHARMD, MBA, BCPS)
Entity Type:Individual
Prefix:DR
First Name:ZACHARY
Middle Name:
Last Name:MOSER
Suffix:
Gender:M
Credentials:PHARMD, MBA, BCPS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1062 HIGHWAY BB
Mailing Address - Street 2:
Mailing Address - City:JADWIN
Mailing Address - State:MO
Mailing Address - Zip Code:65501-8119
Mailing Address - Country:US
Mailing Address - Phone:573-247-8773
Mailing Address - Fax:
Practice Address - Street 1:1010 E SCENIC RIVERS BLVD
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:MO
Practice Address - Zip Code:65560-2820
Practice Address - Country:US
Practice Address - Phone:573-729-3106
Practice Address - Fax:573-729-3546
Is Sole Proprietor?:No
Enumeration Date:2015-06-09
Last Update Date:2021-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2014015855183500000X, 1835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy
No183500000XPharmacy Service ProvidersPharmacist