Healthcare Provider Details

I. General information

NPI: 1952321713
Provider Name (Legal Business Name): GRANT PHARMACIST GROUP INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/21/2006
Last Update Date: 10/01/2024
Certification Date: 10/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 VIOLET RD
CRITTENDEN KY
41030-1101
US

IV. Provider business mailing address

700 VIOLET RD
CRITTENDEN KY
41030-1101
US

V. Phone/Fax

Practice location:
  • Phone: 859-428-0900
  • Fax: 850-813-1325
Mailing address:
  • Phone: 859-428-0900
  • Fax: 859-813-1325

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License NumberP07274
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License NumberP06695
License Number StateKY
# 3
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License NumberP06695
License Number StateKY
# 4
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License NumberP07274
License Number StateKY

VIII. Authorized Official

Name: HEATHER FRANK
Title or Position: CORPORATE PARTNER
Credential: PHD
Phone: 606-845-3421