KELLY L GROTH

YAKIMA, WA
NPI1245393206
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1835P0018X Pharmacist Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
(Licence: WA  PH00021591)
Additional Taxonomies183500000X Pharmacist
(Licence: WA  PH00021591)
Enumeration Date2006-12-19
Last Update Date2018-06-20
Business Address
KELLY L GROTH PHARM.D.
2811 TIETON DR
YAKIMA, WA 98902
Phone number: 509-249-5171
Mailing Address
KELLY L GROTH PHARM.D.
2105 RUBY WAY
UNION GAP, WA 98903-4023
Phone number: 509-945-4128