Individual
DR. MARTIN GRAVIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM D
Contact information
Practice address
311 N MAIN ST, LEITCHFIELD, KY 42754-2230
(270) 259-2474
Mailing address
1239 WOODLAND DR, ELIZABETHTOWN, KY 42701-2770
(270) 739-0303
(270) 234-0101
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
012885
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
012885
KY PHARMACIST LICENSE
KY
Enumeration date
02/28/2007
Last updated
12/20/2022
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