Individual
JEFFREY LEE GROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH.
Contact information
Practice address
1475 N BRIDGE ST, ELKIN, NC 28621-2334
(336) 526-6102
(336) 526-6108
Mailing address
1475 N BRIDGE ST, ELKIN, NC 28621-2334
(336) 526-6102
(336) 526-6108
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
7947
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0865651
—
NC
Enumeration date
08/10/2009
Last updated
08/10/2009
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