MRS. Kimberly Latrice Jackson-Grundy, PHARMD

NPI #1073379707 in New Albany, Indiana

Provider Information

NPI Number: 1073379707
Entity Type: Individual
Name: MRS. Kimberly Latrice Jackson-Grundy, PHARMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: PHARMD
Enumeration Date: Feb 21, 2024
Last Updated: Feb 21, 2024

Practice Location

Address: 816 HAUSFELDT LN APT 4
City: New Albany
State: Indiana
ZIP Code: 47150
Phone: (502) 501-8092

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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