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Individual

JANET SUSAN GRANT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
R.PH.

Contact information

Practice address
5901 MONCLOVA RD, MAUMEE, OH 43537-1841
(419) 891-8036
(419) 891-8006
Mailing address
5901 MONCLOVA RD, MAUMEE, OH 43537-1841
(419) 891-8036
(419) 891-8006

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03311718
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3628421
NABP
OH
05
7648602
OH
Enumeration date
01/19/2007
Last updated
07/08/2007
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