Gravil, Martin

Gravil, Martin is an sole proprietor health care provider with primary practice located at 311 N Main St , Leitchfield KY 42754-2230. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Gravil, Martin can be contacted via phone (270) 259-2474.

Contact Information

Primary practice address
311 N Main St Leitchfield KY 42754-2230
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 012885 Kentucky

Profile Details

NPI number 1285761726
LBN Legal business name Gravil, Martin
Credentials PHARM D
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 28th, 2007
Last updated Dec 20th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285761726 NPPES
Kentucky Other 012885 KY PHARMACIST LICENSE

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