Individual
JENNIFER L GROVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D., R.PH.
Contact information
Practice address
102 WEST MAIN STREET, WARSAW, KY 41095
(859) 567-4601
(859) 567-4674
Mailing address
835 W MAIN ST, MADISON, IN 47250-3131
(502) 817-5761
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
0000028057
TN
183500000X
Pharmacist
009343
AR
183500000X
Pharmacist
Primary
12135
KY
183500000X
Pharmacist
26022256A
IN
Other
Enumeration date
02/15/2007
Last updated
09/25/2007
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