Individual
BENJAMIN RALPH GROTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
502 S 11TH ST, NEBRASKA CITY, NE 68410-2728
(402) 873-1012
(402) 893-1029
Mailing address
502 S 11TH ST, NEBRASKA CITY, NE 68410-2728
(402) 873-1012
(402) 873-1029
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12056
NE
Other
Enumeration date
11/07/2011
Last updated
11/07/2011
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