Organization
GRANT PHARMACISTS GROUP
Active
Other names
Total Care Pharmacy#4
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA G WILLIAMSON (MEDICAL RECORDS CLERK)
16068453421
Entity
Organization
Contact information
Practice address
105 SPEARS LN, CRITTENDEN, KY 41030-7513
(185) 942-8090
(185) 981-3132
Mailing address
105 SPEARS LN, CRITTENDEN, KY 41030-7513
(185) 942-8090
(185) 981-3132
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
P07274
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
54002738
—
KY
Enumeration date
10/07/2008
Last updated
10/07/2008
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