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NPI Code Detail

MEDICARE: DR. BENJAMIN NEIL GROSS PHARM.D.

MEDICARE: DR. BENJAMIN NEIL GROSS PHARM.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist26996TN

General Provider Information

NPI Number : 1154494235
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BENJAMIN NEIL GROSS PHARM.D.
Provider Business Mailing Address
First Line : 1 UNIVERSITY PARK DR
Second Line :
City : NASHVILLE
State : TN
Zip : 37204-3956
Country : US
Telephone Number : 270-366-3976
Fax Number :
Provider Business Practice Location Address
First Line : 1 UNIVERSITY PARK DR
Second Line :
City : NASHVILLE
State : TN
Zip : 37204-3956
Country : US
Telephone Number : 615-966-7195
Fax Number : 615-966-7163
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/16/2006
Last Update Date : 08/20/2013

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