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Individual

KATHERINE GRUEB

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
805 N WHITTINGTON PKWY, LOUISVILLE, KY 40222-7101
(401) 218-2064
Mailing address
116 LONG LN, NORTH KINGSTOWN, RI 02852-4608
(401) 218-2064

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
PCT.0012352
CT
183500000X
Pharmacist
PH240030
MA
183500000X
Pharmacist
Primary
RPH05207
RI

Other

Enumeration date
02/09/2021
Last updated
02/09/2021
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