Elaine Mary Grimes

NPI #1336743293 in Flora, Illinois

Provider Information

NPI Number: 1336743293
Entity Type: Individual
Name: Elaine Mary Grimes
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Nov 22, 2020
Last Updated: Nov 22, 2020

Practice Location

Address: 1301 N STATE RD
City: Flora
State: Illinois
ZIP Code: 62839-1093
Phone: (618) 662-4767

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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