Individual
DR. LUCAS RUSSELL GROENEVELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
77 WAINWRIGHT DR, WALLA WALLA, WA 99362-3994
(509) 525-5200
Mailing address
610 BALM ST, WALLA WALLA, WA 99362-3373
(515) 868-2155
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
23728
IA
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
23728
IA
Other
Enumeration date
11/30/2020
Last updated
04/29/2026
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