Individual
DR. GRANT DANIELS PUCKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
809 N 12TH ST, MURRAY, KY 42071-1648
(270) 753-0287
Mailing address
1102 POPLAR ST, MURRAY, KY 42071-2361
(270) 804-5768
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
023886
KY
Other
Enumeration date
11/04/2024
Last updated
11/04/2024
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