David Lawrence Gross, RPh
Pharmacist in Galesburg, IL. Individual provider (NPI-1).
NPI number1255617536
StatusActive
Last updated in NPPESOct 31, 2011
Details
- NPI
- 1255617536
- Entity type
- Individual (NPI-1)
- Name
- David Lawrence Gross
- Credential
- RPh
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 31, 2011
- Last updated
- Oct 31, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 051.027763 | IL | Yes |
Practice location
1057 E Main StGalesburg, IL 61401-3973
Phone 309-341-2446
Mailing address
1612 School StWashington, IL 61571-9511
Phone 309-995-3109
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