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:
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Health care specialties

SpecialtyCodeLicense #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 18 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 1811198427 NPPES
Minnesota Other 118655 MINN BOARD OF PHARMACY
Minnesota Other RP0006863 MINN BOARD OF PHARMACY

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