Individual
AMANDA GRONINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2125 N MORTON ST, FRANKLIN, IN 46131-9624
(317) 738-4387
Mailing address
7418 E PINE NEEDLE LN, MORGANTOWN, IN 46160-9020
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26020797A
IN
Other
Enumeration date
10/26/2020
Last updated
10/26/2020
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