Provider Demographics
NPI:1649369257
Name:MOBUS, JOHN BYRON II (RPH)
Entity type:Individual
Prefix:MR
First Name:JOHN
Middle Name:BYRON
Last Name:MOBUS
Suffix:II
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 1:2089 FRENCH CREEK RD
Mailing Address - Street 2:PO BOX 464
Mailing Address - City:EVERETT
Mailing Address - State:PA
Mailing Address - Zip Code:15537-5260
Mailing Address - Country:US
Mailing Address - Phone:814-735-2707
Mailing Address - Fax:
Practice Address - Street 1:33 E MAIN ST
Practice Address - Street 2:
Practice Address - City:EVERETT
Practice Address - State:PA
Practice Address - Zip Code:15537-1257
Practice Address - Country:US
Practice Address - Phone:814-652-5633
Practice Address - Fax:814-652-6201
Is Sole Proprietor?:No
Enumeration Date:2006-10-12
Last Update Date:2008-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP037568L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist