Grimm, Derek Lee
Grimm, Derek Lee is an individual health care provider with primary practice located at 1540 Spring Valley Dr , Huntington WV 25704-9300. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Grimm, Derek Lee can be contacted via phone (304) 429-6755.Contact Information
Primary practice address
1540 Spring Valley Dr
Huntington WV 25704-9300
Phone: (304) 429-6755
Fax: (304) 429-0270
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Pharmacy Service Providers / Pharmacist | 183500000X | RP0006863 | West Virginia |
Pharmacy Service Providers / Pharmacist | 183500000X | 118655 | Minnesota |
Profile Details
NPI number | 1811198427 |
---|---|
LBN Legal business name | Grimm, Derek Lee |
Credentials | PHARM.D. |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 30th, 2007 |
Last updated | Jul 10th, 2007 - about 17 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1811198427 | NPPES |
Minnesota | Other | 118655 | MINN BOARD OF PHARMACY |
Minnesota | Other | RP0006863 | MINN BOARD OF PHARMACY |
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