Individual
DAVID LAWRENCE GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1057 E MAIN ST, GALESBURG, IL 61401-3973
(309) 341-2446
Mailing address
1612 SCHOOL ST, WASHINGTON, IL 61571-9511
(309) 995-3109
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051.027763
IL
Other
Enumeration date
10/31/2011
Last updated
10/31/2011
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