Individual
DR. CASEY ROBINSON GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D
Contact information
Practice address
8100 W FAIRVIEW AVE, BOISE, ID 83704-8425
(208) 375-2825
(208) 375-2846
Mailing address
8100 W FAIRVIEW AVE, BOISE, ID 83704-8425
(208) 375-2825
(208) 375-2846
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
7132396
UT
183500000X
Pharmacist
Primary
P6876
ID
Other
Enumeration date
08/26/2013
Last updated
06/29/2021
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