DR. Gary Lee Groubert JR., PHARMD

NPI #1922365550 in Lisbon, Ohio

Provider Information

NPI Number: 1922365550
Entity Type: Individual
Name: DR. Gary Lee Groubert JR., PHARMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: PHARMD
Enumeration Date: Apr 20, 2012
Last Updated: Apr 20, 2012

Practice Location

Address: 40724 CHURCHILL RD
City: Lisbon
State: Ohio
ZIP Code: 44432-8389
Phone: (330) 424-1807

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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