Grider Drug LLC

NPI #1164485702 in Russell Springs, Kentucky

Provider Information

NPI Number
1164485702
Entity Type
Organization
Organization Name
Grider Drug LLC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Apr 6, 2006
Last Updated
Mar 26, 2009

Practice Location

Address
124 DOWELL RD
ZIP Code
42642-4278
Phone
(270) 866-2686

Authorized Official

Name
ERIC GRIDER
Title
PHARMACIST AND MANAGER
Phone
(270) 866-2686

Specialties & Taxonomy Codes

Specialty
Pharmacy
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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