Michael Grant
NPI #1174070452 in West Simsbury, Connecticut
Provider Information
- NPI Number
- 1174070452
- Entity Type
- Organization
- Organization Name
- Michael Grant
- Primary Specialty
- Health Maintenance Organization
- Enumeration Date
- Sep 5, 2016
- Last Updated
- Sep 5, 2016
Practice Location
- Address
- 4 DADEN LN
- City
- West Simsbury
- State
- Connecticut
- ZIP Code
- 06092-2703
- Phone
- (860) 869-7251
Authorized Official
- Name
- MR. MICHAEL K GRANT, PHARM
- Title
- PHARMACIST
- Phone
- (860) 869-7251
Specialties & Taxonomy Codes
| Specialty |
|---|
| Health Maintenance Organization |
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