| NPI | 1164485702 |
|---|---|
| Doing Business As | GRIDER DRUG LLC |
| Entity Type | Organization |
| Authorized Contact | ERIC GRIDER Pharmacist And Manager 270-866-2686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: KY P01425) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-04-06 |
| Last Update Date | 2009-03-26 |