Provider Demographics
NPI:1750570016
Name:GROSS, MELISSA MOOERS (BS, PHARMD, BCPP,CGP)
Entity type:Individual
Prefix:DR
First Name:MELISSA
Middle Name:MOOERS
Last Name:GROSS
Suffix:
Gender:F
Credentials:BS, PHARMD, BCPP,CGP
Other - Prefix:DR
Other - First Name:MELISSA
Other - Middle Name:NICOLE
Other - Last Name:MOOERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BS, PHARMD,BCPP,BCPS
Mailing Address - Street 1:112 N 7TH ST
Mailing Address - Street 2:
Mailing Address - City:CHAMBERSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17201-1720
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:112 NORTH SEVENTH STREET
Practice Address - Street 2:CHAMBERSBURG HOSPITAL PHARMACY
Practice Address - City:CHAMBERSBURG
Practice Address - State:PA
Practice Address - Zip Code:17201
Practice Address - Country:US
Practice Address - Phone:717-267-7195
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-10-23
Last Update Date:2019-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA4 06 0073481835P1300X
PARP437224183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No1835P1300XPharmacy Service ProvidersPharmacistPsychiatric