| Doctor Name: | DEBORAH MOOS |
| NPI Number: | 1073848693 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | BS, RPH, MBA |
| License Number: | 114197 |
| Business Practice Address: | 1390 S Douglas Blvd Ste 102 Midwest City, OK - 731305270 |
| Business Phone Number: | 4054555312 |
| Business Fax Number: | 4054555279 |
| Mailing Address: | 1390 S Douglas Blvd, Ste 102 MIDWEST CITY |
| State: | OK |
| Postal Code: | 731305270 |
| Phone Number: | 4054555312 |
| Fax Number: | 4054555279 |
| NPI Enumeration Date: | 10/15/2009 |
| NPI Last Update Date: | 01/29/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1835P0018X |
| License Number: | 114197 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MN |
| Taxonomy Type: | Pharmacy Service Providers |
| Taxonomy Classification: | Pharmacist |
| Taxonomy Specialization: | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Taxonomy Definition: | Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |