Individual
MICHELLE GRENNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
123 E GARDINER ST, VALLEY, NE 68064-9798
(402) 359-2284
(402) 359-2285
Mailing address
PO BOX 400, VALLEY, NE 68064-0400
(402) 359-2284
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8996
NE
Other
Enumeration date
10/08/2019
Last updated
10/08/2019
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