Individual
DR. GARY LEE GROUBERT JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
40724 CHURCHILL RD, LISBON, OH 44432-8389
(330) 424-1807
Mailing address
40724 CHURCHILL RD, LISBON, OH 44432-8389
(330) 424-1807
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
031221601
OH
Other
Enumeration date
04/20/2012
Last updated
04/20/2012
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