Charles Carlon Grubb
NPI #1083906077 in East Moriches, New York
Provider Information
- NPI Number
- 1083906077
- Entity Type
- Individual
- Name
- Charles Carlon Grubb
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Pharmacist
- Enumeration Date
- May 9, 2011
- Last Updated
- May 9, 2011
Practice Location
- Address
- 94 MONTAUK HWY UNIT A
- City
- East Moriches
- State
- New York
- ZIP Code
- 11940-1156
- Phone
- (631) 874-3784
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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