Individual
ERIC B GRIDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
124 DOWELL RD, RUSSELL SPRINGS, KY 42642-4278
(270) 866-2686
(270) 866-6566
Mailing address
124 DOWELL RD, RUSSELL SPRINGS, KY 42642-4278
(270) 866-2686
(270) 866-6566
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
009887
KY
Other
Enumeration date
11/01/2010
Last updated
11/01/2010
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