Individual
JEFFREY L HOLYCROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8200 STATE ROUTE 366, RUSSELLS POINT, OH 43348-9670
(937) 843-3700
(973) 843-2801
Mailing address
8200 STATE ROUTE 366, RUSSELLS POINT, OH 43348
(937) 843-3700
(973) 843-2801
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03-2-12762
OH
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0577666
—
OH
Enumeration date
02/23/2006
Last updated
04/24/2012
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