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Individual

KELLY L GROTH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHARM.D.

Contact information

Practice address
2811 TIETON DR, YAKIMA, WA 98902
(509) 249-5171
(509) 249-5239
Mailing address
2105 RUBY WAY, UNION GAP, WA 98903-4023
(509) 945-4128

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
PH00021591
WA
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
PH00021591
WA

Other

Enumeration date
12/19/2006
Last updated
06/20/2018
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