Organization
GREGORY DEAN CROSS
Active
Other names
Family Care Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORY DEAN CROSS R.PH. (OWNER)
(660) 359-4157
Entity
Organization
Contact information
Practice address
616 E 1ST ST, TRENTON, MO 64683-2401
(660) 359-4157
Mailing address
616 E 1ST ST, TRENTON, MO 64683-2401
(660) 359-4157
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
004341
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
602061202
—
MO
05
—
622061208
—
MO
Enumeration date
02/21/2007
Last updated
06/18/2008
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