Grider Drug #1 Llc in Russell Springs - Community/retail Pharmacy

Grider Drug #1 Llc - NPI 1033172119

Grider Drug #1 Llc is a Community/retail Pharmacy in Russell Springs, Kentucky. Grider Drug #1 Llc practices all healthcare services and medical treatments related to Community/retail Pharmacy. The NPI Number for Grider Drug #1 Llc is 1033172119. The last update date is 2008-03-05.

Grider Drug #1 Llc's current location address is 539 Main St, Russell Springs, Kentucky. You can contact this provider via phone number 2708666477 and fax number 2708665307. The mailing address for Grider Drug #1 Llc is 539 Main St, Russell Springs, Kentucky. To know further, please read the information below!

Provider Profile Detail

Provider Organization Grider Drug #1 Llc
Address 539 Main St, Russell Springs, Kentucky
Phone Number 2708666477
Fax Number 2708665307
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Grider Mae Anna
Telephone Number 2708666477

NPI Number Detail

NPI Number 1033172119
Provider Enumeration Date 2006-04-10
Last Updated Date 2008-03-05

Provider Mailing Address Detail

Address 539 Main St
City Russell Springs
State Kentucky (KY)
Post Code 426424357
Phone Number 2708666477
Fax Number 2708665307

Provider's Primary Taxonomy Detail

Speciality Community/retail Pharmacy
Taxonomy 3336C0003X
Licence No P00682
Definition:
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing pr

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
90009978 KY --
54008453 KY --
45002490 KY --

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FAQs about Grider Drug #1 Llc

What is the unique 10-digit identification code assigned to Grider Drug #1 Llc by the Centers for Medicare & Medicaid Services?

The Grider Drug #1 Llc has been issued the NPI (National Provider Identifier) 1033172119, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Where is the Grider Drug #1 Llc located?

The Grider Drug #1 Llc is located at 539 Main St, Russell Springs, KY 426424357.

What is Grider Drug #1 Llc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Grider Drug #1 Llc is Community/retail Pharmacy, and the taxonomy code that categorizes this field of expertise is 3336C0003X.

On what date did the Grider Drug #1 Llc receive the assignment of its 1033172119 from the Centers for Medicare & Medicaid Services?

The Grider Drug #1 Llc was issued its 1033172119 by the Centers for Medicare & Medicaid Services on 2006-04-10.

When was the information regarding Grider Drug #1 Llc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Grider Drug #1 Llc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-03-05.

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