MEDICARE: JENNIFER GRIMSLID RPH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	03236766	OH

General Provider Information

NPI Number	:	1386269876
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER GRIMSLID RPH

Provider Business Mailing Address
First Line	:	202 W SCHREYER PL
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43214-2523
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1162 HARRISBURG PIKE
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43223-2847
Country	:	US
Telephone Number	:	614-351-0266
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/10/2020
Last Update Date	:	06/10/2020

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Directions to “ JENNIFER GRIMSLID RPH” Practice Location

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