Provider Demographics
NPI:1578854915
Name:MOSKOFF, ALAN ROBERT (RPH)
Entity type:Individual
Prefix:MR
First Name:ALAN
Middle Name:ROBERT
Last Name:MOSKOFF
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:565 MILL ST
Mailing Address - Street 2:
Mailing Address - City:NEW BEDFORD
Mailing Address - State:MA
Mailing Address - Zip Code:02740-2773
Mailing Address - Country:US
Mailing Address - Phone:508-996-5781
Mailing Address - Fax:508-990-2713
Practice Address - Street 1:565 MILL ST
Practice Address - Street 2:
Practice Address - City:NEW BEDFORD
Practice Address - State:MA
Practice Address - Zip Code:02740-2773
Practice Address - Country:US
Practice Address - Phone:508-996-5781
Practice Address - Fax:508-990-2713
Is Sole Proprietor?:No
Enumeration Date:2011-04-19
Last Update Date:2011-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA15746183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist