MEDICARE: DR. DENNIS SCOTT CROMER PHARMD

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
1	183500000X	Pharmacist	016605	KY

General Provider Information

NPI Number	:	1295176600
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DENNIS SCOTT CROMER PHARMD

Provider Business Mailing Address
First Line	:	105 LOCUST ST
Second Line	:
City	:	MOUNT VERNON
State	:	KY
Zip	:	40456-2838
Country	:	US
Telephone Number	:	606-682-6854
Fax Number	:

Provider Business Practice Location Address
First Line	:	2025 LEESTOWN RD
Second Line	:	STE B
City	:	LEXINGTON
State	:	KY
Zip	:	40511-1000
Country	:	US
Telephone Number	:	859-233-0936
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/13/2013
Last Update Date	:	07/13/2013

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