MEDICARE: DR. BRIANNE MOSLEY PHARMD, BCPS, BCPP

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	1835P0018X	Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist	42627	SC
2	1835P1200X	Pharmacotherapy Pharmacist	42627	SC
3	1835P1300X	Psychiatric Pharmacist	42627	SC

General Provider Information

NPI Number	:	1720940380
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BRIANNE MOSLEY PHARMD, BCPS, BCPP

Provider Business Mailing Address
First Line	:	67 PRESIDENT ST RM 431N
Second Line	:
City	:	CHARLESTON
State	:	SC
Zip	:	29425-5712
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	67 PRESIDENT ST RM 431N
Second Line	:
City	:	CHARLESTON
State	:	SC
Zip	:	29425-5712
Country	:	US
Telephone Number	:	843-792-5952
Fax Number	:

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

Provider Enumeration Date	:	12/02/2025
Last Update Date	:	12/02/2025

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