Provider Demographics
NPI:1750255493
Name:MOSS, ROBERT J (PHARMD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:J
Last Name:MOSS
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11373 SANDSTONE HILL TER
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33473-7805
Mailing Address - Country:US
Mailing Address - Phone:215-630-1146
Mailing Address - Fax:
Practice Address - Street 1:11373 SANDSTONE HILL TER
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33473-7805
Practice Address - Country:US
Practice Address - Phone:215-630-1146
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-04
Last Update Date:2025-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL188551835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy