MEDICARE: ANNDEE GRITTE

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	1835X0200X	Oncology Pharmacist	62880	TX

General Provider Information

NPI Number	:	1629557681
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNDEE GRITTE

Provider Business Mailing Address
First Line	:	522 N MEADOWLANE DR
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78209-4716
Country	:	US
Telephone Number	:	361-549-1650
Fax Number	:

Provider Business Practice Location Address
First Line	:	330 W AGARITA AVE
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78212-2804
Country	:	US
Telephone Number	:	612-629-7733
Fax Number	:

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

Provider Enumeration Date	:	08/10/2018
Last Update Date	:	08/21/2024

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Directions to “ ANNDEE GRITTE ” Practice Location

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