| NPI | 1104183342 |
|---|---|
| Doing Business As | GRUBB'S SE PHARMACY AND MINI-MART |
| Entity Type | Organization |
| Authorized Contact | MICHAEL KIM Owner/VP 202-543-4400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: DC RX1200011) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2012-04-12 |
| Last Update Date | 2016-12-05 |