Provider Demographics
NPI:1578743654
Name:MOSHER, FRANCIS JOHN IV (RPH)
Entity Type:Individual
Prefix:MR
First Name:FRANCIS
Middle Name:JOHN
Last Name:MOSHER
Suffix:IV
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 EAST AVE
Mailing Address - Street 2:
Mailing Address - City:ALBION
Mailing Address - State:NY
Mailing Address - Zip Code:14411-1613
Mailing Address - Country:US
Mailing Address - Phone:585-589-4417
Mailing Address - Fax:585-589-5898
Practice Address - Street 1:10 EAST AVE
Practice Address - Street 2:
Practice Address - City:ALBION
Practice Address - State:NY
Practice Address - Zip Code:14411-1613
Practice Address - Country:US
Practice Address - Phone:585-589-4417
Practice Address - Fax:585-589-5898
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-06
Last Update Date:2007-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY033463183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist