Individual
GREG KIMMEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
12623 ECKEL JUNCTION RD, PERRYSBURG, OH 43551-1304
(567) 368-1434
(567) 368-1433
Mailing address
12623 ECKEL JUNCTION RD, PERRYSBURG, OH 43551-1304
(567) 368-1434
(567) 368-1433
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
03213821
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0329364
—
OH
Enumeration date
08/16/2021
Last updated
08/16/2021
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