Individual
GRAYDEN LOSEKAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
1525 MADISON AVE, COVINGTON, KY 41011-3315
(859) 431-5566
Mailing address
6980 MURRAY AVE, CINCINNATI, OH 45227-3345
(513) 260-2140
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26026540A
IN
Other
Enumeration date
11/27/2019
Last updated
11/27/2019
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