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Jeffrey Grundhauser, PHARMD
NPI 1780049577 · on the registry since 2015 · sole proprietor
Practice
- Address
- 89 W 2nd S
Soda Springs, ID 83276 - Phone
- (208) 547-3300
- Organisation at this address
- Broulim Supermarkets Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- Pharmacist
183500000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-12-21
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 Idaho