Individual
DR. PETER KAILEN GROCUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM. D
Contact information
Practice address
7816 BUCKTHORN DR NE, BREMERTON, WA 98311-9250
(860) 480-6452
Mailing address
7816 BUCKTHORN DR NE, BREMERTON, WA 98311-9250
(860) 480-6452
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
61068869
WA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
61068869
WA
Other
Enumeration date
01/09/2025
Last updated
01/09/2025
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