Erik Randall Grove in Madison - Pharmacist
Erik Randall Grove - NPI 1558402073
Erik Randall Grove is a Pharmacist in Madison, Indiana. Erik Randall Grove practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Erik Randall Grove is 1558402073. The last update date is 2007-07-09.
Erik Randall Grove's current location address is 835 W Main St, Madison, Indiana. You can contact this provider via phone number 8122654621 and fax number 8122736666. The mailing address for Erik Randall Grove is 835 W Main St, Madison, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Erik Randall Grove |
|---|---|
| Address | 835 W Main St, Madison, Indiana |
| Phone Number | 8122654621 |
| Fax Number | 8122736666 |
| Sole Proprietor | N |
| Credentials | PHARM.D. |
NPI Number Detail
| NPI Number | 1558402073 |
|---|---|
| Provider Enumeration Date | 2007-02-08 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 835 W Main St |
|---|---|
| City | Madison |
| State | Indiana (IN) |
| Post Code | 472503131 |
| Phone Number | 8122654621 |
| Fax Number | 8122736666 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacist |
|---|---|
| Taxonomy | 183500000X |
| Licence No | 12150 |
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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 |
|---|---|---|---|
| 9023441000 | KY | KENTUCKY MEDICAID DME | |
| 54023718 | KY | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Erik Randall Grove by the Centers for Medicare & Medicaid Services?
The Erik Randall Grove has been assigned the NPI (National Provider Identifier) 1558402073 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where Erik Randall Grove's facilities are geographically located?
The facilities of Erik Randall Grove are physically situated at the following location: 835 W Main St, Madison, IN, 472503131.
What is Erik Randall Grove's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Erik Randall Grove is Pharmacist, and the corresponding taxonomy classification code for this specialized field is 183500000X.
When was the Erik Randall Grove's 1558402073 issued?
The Erik Randall Grove's 1558402073 was issued on 2007-02-08.
When was the information regarding Erik Randall Grove most recently updated?
The details pertaining to the Erik Randall Grove, including its address, specialty, and other relevant information, were last refreshed on 2007-07-09.