Individual
ALLEN W GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6320 N OAK TRFY, GLADSTONE, MO 64118-4704
(816) 453-7856
(816) 453-2865
Mailing address
6320 N OAK TRFY, GLADSTONE, MO 64118-4704
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
029240
MO
Other
Enumeration date
08/26/2011
Last updated
08/26/2011
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