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Individual

MRS. RITA D GRENIER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RPH

Contact information

Practice address
4900 EAGLE ST, ANCHORAGE, AK 99503-7446
(907) 762-0204
(907) 762-0293
Mailing address
PO BOX 772481, EAGLE RIVER, AK 99577-2481
(907) 762-0204
(907) 762-0293

Taxonomy

Speciality
Code
Description
License number
State
1835G0303X
Geriatric Pharmacist
6574
OR
1835G0303X
Geriatric Pharmacist
Primary
682
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
33046
PHARMACIST LICENSE
CA
01
6574
PHARMACIST LICENSE
OR
01
682
PHARMACIST LICENSE
AK
Enumeration date
03/05/2007
Last updated
07/08/2007
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