Derek Lee Grimm is a Pharmacist in Huntington, . Derek Lee Grimm practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Derek Lee Grimm is 1811198427. The last update date is 2007-07-10.
Derek Lee Grimm's current location address is 6005 Country Club Dr, Huntington, . You can contact this provider via phone number 6512385732 and fax number 3045684425. The mailing address for Derek Lee Grimm is 6005 Country Club Dr, Huntington, . To know further, please read the information below!
Provider Profile Detail
| Provider Name | Derek Lee Grimm |
|---|---|
| Address | 6005 Country Club Dr, Huntington, |
| Phone Number | 6512385732 |
| Fax Number | 3045684425 |
| Sole Proprietor | N |
| Credentials | PHARM.D. |
NPI Number Detail
| NPI Number | 1811198427 |
|---|---|
| Provider Enumeration Date | 2007-05-30 |
| Last Updated Date | 2007-07-10 |
Provider Mailing Address Detail
| Address | 6005 Country Club Dr |
|---|---|
| City | Huntington |
| State | (WV) |
| Post Code | 257052038 |
| Phone Number | 6512385732 |
| Fax Number | 3045684425 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacist |
|---|---|
| Taxonomy | 183500000X |
| Licence No | RP0006863 |
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Definition: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or m |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 118655 | MN | MINN BOARD OF PHARMACY | |
| RP0006863 | WV | WV BOARD OF PHARMACY |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Derek Lee Grimm by the Centers for Medicare & Medicaid Services?
The Derek Lee Grimm has been issued the NPI (National Provider Identifier) 1811198427 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Derek Lee Grimm located?
The Derek Lee Grimm is located at 6005 Country Club Dr, Huntington, WV 257052038.
What is Derek Lee Grimm's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Derek Lee Grimm's specialized field of practice is Pharmacist, and the corresponding taxonomy code that categorizes this area of specialization is 183500000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1811198427 to Derek Lee Grimm?
The Centers for Medicare & Medicaid Services assigned the 1811198427 to Derek Lee Grimm on 2007-05-30.
When was the information related to Derek Lee Grimm most recently updated or refreshed?
The details pertaining to the Derek Lee Grimm, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-10.
NPI Number: 1063415297
Address: 510 Spring St, Jeffersonville, IN