Grider Drug #1 LLC

NPI #1033172119 in Russell Springs, Kentucky

Provider Information

NPI Number
1033172119
Entity Type
Organization
Organization Name
Grider Drug #1 LLC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Apr 10, 2006
Last Updated
Mar 5, 2008

Practice Location

Address
539 MAIN ST
ZIP Code
42642-4357
Phone
(270) 866-6477

Authorized Official

Name
ANNA MAE GRIDER
Title
OWNER
Phone
(270) 866-6477

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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