Eric B Grider

NPI 1235439654 - Pharmacist - 183500000X

NPI Details
NPI 1235439654
Gender Male
Enumeration Date 11/01/2010
Last Updated 11/01/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
124 DOWELL RD
RUSSELL SPRINGS KY, 42642-4278, US
Phone (270) 866-2686
Fax (270) 866-6566
Business Location
124 DOWELL RD
RUSSELL SPRINGS KY, 42642-4278, US
Phone (270) 866-2686
Fax (270) 866-6566
Toxanomy
Taxonomy Code 183500000X
License State Kentucky
License Number 009887
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According to our database, Eric B Grider NPI is 1235439654, taxonomy code is 183500000X and license number is 009887, license state is located at Kentucky. Eric B Grider physically located at 124 Dowell Rd, Russell Springs KY, 42642-4278. NPI Number Eric B Grider has the Individual type.

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1235439654 NPI number is provided on an as is basis without warranty of any kind. 1235439654 is maintained by the National Plan & Provider Enumeration System. The contents of Eric B Grider are for informational purposes only.