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Search › Kentucky › 183500000X

Jonathan Grider, PHARMD

NPI 1518675628 · on the registry since 2022 · sole proprietor

Practice

Address
2431 Lakeway Dr Ste C
Russell Springs, KY 42642
Phone
(270) 858-6400
Fax
(270) 866-7542
Organisation at this address
Premiertox, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
KY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-11-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kentucky