Organization
GRASSROOTS CLINICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHELLEY ROBERTS PHARMD (OWNER)
(859) 263-1382
Entity
Organization
Contact information
Practice address
2304 SIR BARTON WAY STE 195, LEXINGTON, KY 40509-2741
(859) 263-1382
(859) 795-5275
Mailing address
2304 SIR BARTON WAY STE 195, LEXINGTON, KY 40509-2741
(859) 263-1382
(859) 795-5275
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
06/09/2022
Last updated
06/09/2022
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