NPI 1225401219

Travis Ryan Gross

Practitioner Pharmacist Bradford, VT

Practice location

Address: 901 Lower Pln, Bradford, VT 05033
Phone: (802) 222-9292
Mailing address: 901 Lower Pln, Bradford, VT 05033-8924

Registered specialties (2)

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 033.0134102 (VT)

Other Pharmacist providers in Vermont →

Pharmacist

Pharmacy Service Providers Taxonomy 183500000X Licence 061088 (NY)

Registry record

NPI: 1225401219
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Nov 2015
Record last updated: 19 Aug 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.