| Jeffrey L Holycross, | |
|
8200 State Route 366, Russells Point, OH 43348-9670 | |
| (937) 843-3700 | |
| (973) 843-2801 |
| Full Name | Jeffrey L Holycross |
|---|---|
| Gender | Male |
| Speciality | Pharmacist |
| Location | 8200 State Route 366, Russells Point, Ohio |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053386847 | NPI | - | NPPES |
| 0577666 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 183500000X | Pharmacist | 03-2-12762 (Ohio) | Primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffrey L Holycross, 8200 State Route 366, Russells Point, OH 43348 Ph: (937) 843-3700 | Jeffrey L Holycross, 8200 State Route 366, Russells Point, OH 43348-9670 Ph: (937) 843-3700 |
Sharon Burris, RPH Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 120 W. Main St., Russells Point, OH 43348 Phone: 937-843-2048 | |
Mr. Gregory W. Fogt, R.PH. Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 120 W. Main St., Russells Point, OH 43348 Phone: 937-843-2048 Fax: 937-843-2371 | |
Gillian Marie Hammer, PHARMD, RPH Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 8200 State Route 366, Russells Point, OH 43348 Phone: 937-843-3700 Fax: 937-843-2801 | |
Teresa Marie Robinson, PHARMD Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 120 West Main Street, Russells Point, OH 43348 Phone: 937-843-2048 | |
James Herbert Levan, RPH Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 120 W. Main St, Russells Point, OH 43348 Phone: 937-843-2048 Fax: 937-843-2371 |