Provider Demographics
NPI:1013510528
Name:MOSBY, BRIANNA LASHAWN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:BRIANNA
Middle Name:LASHAWN
Last Name:MOSBY
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8096 HIGHLANDS DR
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:GA
Mailing Address - Zip Code:31820-4383
Mailing Address - Country:US
Mailing Address - Phone:706-577-9836
Mailing Address - Fax:
Practice Address - Street 1:4432 MILLER RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31909-4065
Practice Address - Country:US
Practice Address - Phone:706-561-5001
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-17
Last Update Date:2020-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH030737183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist