Individual
MR. MONTE JACK GROSS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
163 EAST COLLEGE AVE, STANTON, KY 40380-0037
(606) 663-2848
(606) 663-0968
Mailing address
PO BOX 1212, 225 EAST COLLEGE AVE., STANTON, KY 40380-1212
(606) 663-2848
(606) 663-0968
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
7829
KY
Other
Enumeration date
08/07/2006
Last updated
07/08/2007
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