Crystal Grimes

NPI #1790865574 in Logan, Utah

Provider Information

NPI Number: 1790865574
Entity Type: Individual
Name: Crystal Grimes
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Oct 16, 2006
Last Updated: Jul 6, 2010

Practice Location

Address: 1750 N MAIN ST
City: Logan
State: Utah
ZIP Code: 84341-1922
Phone: (435) 752-9641

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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