Provider Demographics
NPI:1841846763
Name:MOSCATELLI, THOMAS PAUL JR (PHARMD)
Entity type:Individual
Prefix:
First Name:THOMAS
Middle Name:PAUL
Last Name:MOSCATELLI
Suffix:JR
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:STUDENT STORES BUILDING
Mailing Address - Street 2:207 SOUTH ROAD, CB #1530
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27599-7470
Mailing Address - Country:US
Mailing Address - Phone:919-966-8166
Mailing Address - Fax:
Practice Address - Street 1:STUDENT STORES BUILDING
Practice Address - Street 2:207 SOUTH ROAD, CB #1530
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27599-7470
Practice Address - Country:US
Practice Address - Phone:919-966-8166
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-15
Last Update Date:2020-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC28548183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist