Individual
MR. JERRY VANCE GRIMMITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
785 CHICKAMAUGA AV, LONGLEY PHARMACY, ROSSVILLE, GA 30741
(706) 866-1220
(706) 861-7505
Mailing address
2196 GOURGE RD, HENAGAR, AL 35978
(256) 657-3462
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
20271
GA
183500000X
Pharmacist
507
TN
183500000X
Pharmacist
9494
AL
Other
Enumeration date
11/22/2006
Last updated
07/08/2007
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