Individual provider · Type 1 NPI

Moses Kusorgbor

Pharmacist · Charlotte, NC

NPI number 1912804683 Active

Practice location

334 S Sharon Amity Rd
Charlotte, NC 28211-2806

Fax (704) 362-1859

Mailing address

10400 Northlake Centre Pkwy Unit 315
Charlotte, NC 28216-0384

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X35102 (NC)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1912804683

Moses Kusorgbor's National Provider Identifier is 1912804683, issued on Oct 24, 2026. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Charlotte, NC. The record was last updated on Oct 24, 2026.