| Lloyd F. Moss Free Clinic | |
|
1301 Sam Perry Blvd Suite 100 Fredericksburg VA 22401-8420 | |
| (540) 741-1055 | |
| (540) 741-3103 |
| Full Name | Lloyd F. Moss Free Clinic |
|---|---|
| Speciality | Pharmacy - Clinic Pharmacy |
| Location | 1301 Sam Perry Blvd, Fredericksburg, Virginia |
| Authorized Official Name and Position | Karen Dulaney (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5407411065 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lloyd F. Moss Free Clinic 1301 Sam Perry Blvd Suite 100 Fredericksburg VA 22401-8420 Ph: (540) 741-1065 | Lloyd F. Moss Free Clinic 1301 Sam Perry Blvd Suite 100 Fredericksburg VA 22401-8420 Ph: (540) 741-1055 |
| NPI Number | 1023396892 |
|---|---|
| Provider Enumeration Date | 07/28/2011 |
| Last Update Date | 06/13/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023396892 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 0201003169 (Virginia) | Secondary |
| 3336C0002X | Pharmacy - Clinic Pharmacy | (* (Not Available)) | Primary |
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