| NPI | 1336690122 |
|---|---|
| Doing Business As | GRASSROOTS PHARMACY, PLLC |
| Entity Type | Organization |
| Authorized Contact | SHELLEY ROBERTS Owner/PIC/AO 859-227-0707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: KY P07798) |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
| 333600000X Pharmacy | |
| Enumeration Date | 2016-10-17 |
| Last Update Date | 2016-11-16 |