Individual
MR. RAYMOND CHARLES GROGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
650 S COBB ST, PALMER, AK 99645-6320
(907) 761-4233
(907) 761-4227
Mailing address
5341 EAST MCDOWELL ROAD, WASILLA, AK 99654
(907) 373-6313
(907) 761-4227
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
727
AK
Other
Enumeration date
03/08/2012
Last updated
03/08/2012
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