Organization
GRANT PHARMACIST GROUP INC
Active
Other names
TOTAL CARE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER FRONK PHRMD (PARTNER)
(606) 845-3421
Entity
Organization
Contact information
Practice address
40 BROADWAY ST, DRY RIDGE, KY 41035-9762
(859) 823-0200
(859) 823-4500
Mailing address
40 BROADWAY ST, DRY RIDGE, KY 41035-9762
(859) 823-0200
(859) 823-4500
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
P07272
KY
3336C0004X
Compounding Pharmacy
—
—
3336M0003X
Managed Care Organization Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2034093
PK
—
05
—
7100055140
—
KY
Enumeration date
08/18/2006
Last updated
01/16/2015
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