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Organization

GRANT PHARMACIST GROUP INC

Active
Other names
Total Care Pharmacy #4
Organization subpart
No

Provider details

NPI number
Authorized official
HEATHER FRANK PHD (CORPORATE PARTNER)
(606) 845-3421
Entity
Organization

Contact information

Practice address
700 VIOLET RD, CRITTENDEN, KY 41030-1101
(859) 428-0900
(850) 813-1325
Mailing address
700 VIOLET RD, CRITTENDEN, KY 41030-1101
(859) 428-0900
(859) 813-1325

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
P06695
KY
332B00000X
Durable Medical Equipment & Medical Supplies
P07274
KY
333600000X
Pharmacy
P06695
KY
333600000X
Pharmacy
Primary
P07274
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1827077
NCPDP
KY
05
54002738
KY
05
7100056090
KY
Enumeration date
07/21/2006
Last updated
10/01/2024
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