Individual
MRS. KIMBERLY LATRICE JACKSON-GRUNDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
816 HAUSFELDT LN APT 4, NEW ALBANY, IN 47150
(502) 501-8092
Mailing address
816 HAUSFELDT LN APT 4, NEW ALBANY, IN 47150
(502) 501-8092
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
45023649A
IN
183500000X
Pharmacist
Primary
I15738
KY
Other
Enumeration date
02/21/2024
Last updated
02/21/2024
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