Individual
MS. JODI GRIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.PH
Contact information
Practice address
920 47TH AVE, GREELEY, CO 80634-2042
(970) 353-8375
Mailing address
PO BOX 7281, LOVELAND, CO 80537-0281
(775) 771-1199
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15387
CO
183500000X
Pharmacist
RPH-0012887
OR
Other
Enumeration date
12/02/2011
Last updated
04/19/2019
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