Jack B Gross in Harrodsburg - Pharmacist

Jack B Gross - NPI 1407991375

Jack B Gross is a Pharmacist in Harrodsburg, Kentucky. Jack B Gross practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Jack B Gross is 1407991375. The last update date is 2007-07-08.

Jack B Gross's current location address is 106 Cherry Dr, Harrodsburg, Kentucky. You can contact this provider via phone number 8593245543. The mailing address for Jack B Gross is 106 Cherry Dr, Harrodsburg, Kentucky. To know further, please read the information below!

Provider Profile Detail

Provider Name Jack B Gross
Address 106 Cherry Dr, Harrodsburg, Kentucky
Phone Number 8593245543
Fax Number
Sole Proprietor N
Credentials PHARMD

NPI Number Detail

NPI Number 1407991375
Provider Enumeration Date 2007-02-20
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 106 Cherry Dr
City Harrodsburg
State Kentucky (KY)
Post Code 403309219
Phone Number 8593245543
Fax Number

Provider's Primary Taxonomy Detail

Speciality Pharmacist
Taxonomy 183500000X
Licence No 8544
Definition:
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 m

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
8544 KY LICENSE NUMBER

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FAQs about Jack B Gross

What is the unique identifier code issued to Jack B Gross by the Centers for Medicare & Medicaid Services?

The Jack B Gross has been assigned the NPI (National Provider Identifier) 1407991375. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Jack B Gross's facilities are geographically located?

The facilities of Jack B Gross are physically situated at the following location: 106 Cherry Dr, Harrodsburg, KY, 403309219.

What is Jack B Gross's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Jack B Gross is Pharmacist, and the taxonomy classification code that categorizes this area of expertise is 183500000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1407991375 to Jack B Gross?

The Centers for Medicare & Medicaid Services originally issued the 1407991375 to Jack B Gross on 2007-02-20.

As of what date were the details related to Jack B Gross most recently updated or revised?

The information pertaining to Jack B Gross, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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