Cj Groetken, RPH

NPI #1962008805 in Normal, Illinois

Provider Information

NPI Number: 1962008805
Entity Type: Individual
Name: Cj Groetken, RPH
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: RPH
Enumeration Date: Dec 7, 2020
Last Updated: Dec 7, 2020

Practice Location

Address: 100 S FELL AVE
City: Normal
State: Illinois
ZIP Code: 61761-6627
Phone: (309) 452-0393

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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