Provider Demographics
NPI:1447241385
Name:MOSLER, CHARLES ROBERT (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:ROBERT
Last Name:MOSLER
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1324 COUNTY ROAD 10
Mailing Address - Street 2:
Mailing Address - City:ADA
Mailing Address - State:OH
Mailing Address - Zip Code:45810-9511
Mailing Address - Country:US
Mailing Address - Phone:419-634-7086
Mailing Address - Fax:
Practice Address - Street 1:1324 COUNTY ROAD 10
Practice Address - Street 2:
Practice Address - City:ADA
Practice Address - State:OH
Practice Address - Zip Code:45810-9511
Practice Address - Country:US
Practice Address - Phone:419-634-7086
Practice Address - Fax:419-384-3308
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-31
Last Update Date:2012-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03-2-25131183500000X, 1835P1200X
OH0322251311835G0303X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy
No183500000XPharmacy Service ProvidersPharmacist
No1835G0303XPharmacy Service ProvidersPharmacistGeriatric