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NPI Code Detail

MEDICARE: MRS. CHRISTINA G. LOUCAS MOSCA R.PH.

MEDICARE: MRS. CHRISTINA G. LOUCAS MOSCA R.PH.
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
1183500000XPharmacist03314407OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
103314407OTHEROHPHARMACISTS LICENSE

General Provider Information

NPI Number : 1164496857
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CHRISTINA G. LOUCAS MOSCA R.PH.
Provider Business Mailing Address
First Line : 4511 HUNTWICKE DR
Second Line :
City : HILLIARD
State : OH
Zip : 43026-8568
Country : US
Telephone Number : 614-777-6274
Fax Number :
Provider Business Practice Location Address
First Line : 3311 TREMONT RD
Second Line : SUITE 102
City : COLUMBUS
State : OH
Zip : 43221-2008
Country : US
Telephone Number : 614-459-3388
Fax Number : 614-340-0247
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/17/2006
Last Update Date : 07/08/2007

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