MEDICARE: DR. ROBERT J MOSS PHARMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1835P1200X	Pharmacotherapy Pharmacist	18855	FL

General Provider Information

NPI Number	:	1750255493
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT J MOSS PHARMD

Provider Business Mailing Address
First Line	:	11373 SANDSTONE HILL TER
Second Line	:
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33473-7805
Country	:	US
Telephone Number	:	215-630-1146
Fax Number	:

Provider Business Practice Location Address
First Line	:	11373 SANDSTONE HILL TER
Second Line	:
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33473-7805
Country	:	US
Telephone Number	:	215-630-1146
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/04/2025
Last Update Date	:	10/04/2025

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