Individual
JOHN DANIEL GROSS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
247 EXPRESSWAY CT, VIRGINIA BEACH, VA 23462-6526
(757) 499-9637
(757) 473-9227
Mailing address
6133 ROLFE AVE, NORFOLK, VA 23508-1025
(757) 451-8052
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202005695
VA
Other
Enumeration date
11/30/2005
Last updated
07/08/2007
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