Individual
PAULA MARIE GRIMWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
401 N BURKHARDT RD, EVANSVILLE, IN 47715-2733
(812) 474-1715
Mailing address
4408 CLOVER DR, EVANSVILLE, IN 47711-2904
(812) 457-5059
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26014037A
IN
Other
Enumeration date
03/02/2021
Last updated
03/02/2021
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