Michael, Richard Grandville

Michael, Richard Grandville is an sole proprietor health care provider with primary practice located at 1311 Woodcastle Rd , Nixa MO 65714-7183. He recently has only one registered license in Pharmacy Service Providers / Geriatric, which is considered as his primary health care specialty. Michael, Richard Grandville can be contacted via phone (417) 725-9302.

Contact Information

Primary practice address
1311 Woodcastle Rd Nixa MO 65714-7183
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Geriatric 1835G0303X 042027 Missouri

Profile Details

NPI number 1194087478
LBN Legal business name Michael, Richard Grandville
Credentials RPH
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 12th, 2012
Last updated Jun 12th, 2012 - about 12 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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