Individual
CASEY GROTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM. D
Contact information
Practice address
2117 WOOD DUCK WAY, CONROE, TX 77384-2703
(157) 362-0609
Mailing address
2117 WOOD DUCK WAY, CONROE, TX 77384-2703
(573) 620-6096
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2010034685
MO
Other
Enumeration date
09/28/2011
Last updated
03/13/2024
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