Kelly L Groth in Union Gap - Pharmacist Clinician (phc)/ Clinical Pharmacy Specialist
Kelly L Groth - NPI 1245393206
Kelly L Groth is a Pharmacist Clinician (phc)/ Clinical Pharmacy Specialist in Union Gap, Washington. Kelly L Groth practices all healthcare services and medical treatments related to Pharmacist Clinician (phc)/ Clinical Pharmacy Specialist. The NPI Number for Kelly L Groth is 1245393206. The last update date is 2018-06-20.
Kelly L Groth's current location address is 2105 Ruby Way, Union Gap, Washington. You can contact this provider via phone number 5099454128. The mailing address for Kelly L Groth is 2105 Ruby Way, Union Gap, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelly L Groth |
|---|---|
| Address | 2105 Ruby Way, Union Gap, Washington |
| Phone Number | 5099454128 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PHARM.D. |
NPI Number Detail
| NPI Number | 1245393206 |
|---|---|
| Provider Enumeration Date | 2006-12-19 |
| Last Updated Date | 2018-06-20 |
Provider Mailing Address Detail
| Address | 2105 Ruby Way |
|---|---|
| City | Union Gap |
| State | Washington (WA) |
| Post Code | 989034023 |
| Phone Number | 5099454128 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacist Clinician (phc)/ Clinical Pharmacy Specialist |
|---|---|
| Taxonomy | 1835P0018X |
| Licence No | PH00021591 |
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Definition: Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Kelly L Groth?
The Kelly L Groth has been issued the NPI (National Provider Identifier) 1245393206 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Kelly L Groth is located?
The Kelly L Groth is situated at the following address: 2105 Ruby Way, Union Gap, WA, 989034023.
What is Kelly L Groth's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Kelly L Groth is Pharmacist Clinician (phc)/ Clinical Pharmacy Specialist, and the taxonomy code that categorizes this field of expertise is 1835P0018X.
On what date did the Kelly L Groth receive the assignment of its 1245393206 from the Centers for Medicare & Medicaid Services?
The Kelly L Groth was issued its 1245393206 by the Centers for Medicare & Medicaid Services on 2006-12-19.
As of what date were the details pertaining to Kelly L Groth last refreshed?
The information related to the Kelly L Groth, including its address, specialty, and other relevant details, was last updated on 2018-06-20.