Individual provider · Type 1 NPI

Tommy Joe Gross, RPH

Pharmacist · Lewiston, ID

NPI number 1235539479 Active

Practice location

1815 21st St
Lewiston, ID 83501-4103

Fax (208) 746-0685

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000XP4833 (ID)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1235539479

Tommy Joe Gross, RPH's National Provider Identifier is 1235539479, issued on Aug 25, 2014. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Lewiston, ID. The record was last updated on Aug 25, 2014.