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Individual

MICHAEL J GRUBER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
204 PARK AVE, CARROLLTON, KY 41008-9513
(502) 732-4392
(502) 732-9992
Mailing address
204 PARK AVE, CARROLLTON, KY 41008-9513
(502) 732-4392
(502) 732-9992

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
008865
KY

Other

Enumeration date
05/05/2011
Last updated
05/05/2011
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