Individual
JERRY GROVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH
Contact information
Practice address
11625 N 124TH WAY, SCOTTSDALE, AZ 85259-3470
(480) 440-9677
Mailing address
11625 N 124TH WAY, SCOTTSDALE, AZ 85259-3470
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
011096
AZ
Other
Enumeration date
07/16/2015
Last updated
07/16/2015
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