Provider Demographics
NPI:1295176600
Name:CROMER, DENNIS SCOTT (PHARMD)
Entity type:Individual
Prefix:DR
First Name:DENNIS
Middle Name:SCOTT
Last Name:CROMER
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 LOCUST ST
Mailing Address - Street 2:
Mailing Address - City:MOUNT VERNON
Mailing Address - State:KY
Mailing Address - Zip Code:40456-2838
Mailing Address - Country:US
Mailing Address - Phone:606-682-6854
Mailing Address - Fax:
Practice Address - Street 1:2025 LEESTOWN RD
Practice Address - Street 2:STE B
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40511-1000
Practice Address - Country:US
Practice Address - Phone:859-233-0936
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-13
Last Update Date:2013-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY016605183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist