Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. RICHARD GRANDVILLE MICHAEL, RPH
Active Sole ProprietorMR. RICHARD GRANDVILLE MICHAEL, RPH is a Geriatric Pharmacist healthcare provider located in NIXA, Missouri. NPI 1194087478 is currently active in the NPPES registry. Verify at CMS.
Geriatric Pharmacist · NIXA, MO
Registration Details
- NPI Number
- 1194087478
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 12, 2012 (14.182348495519 yrs)
- Last Updated
- Jun 12, 2012
- License
-
042027 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1311 WOODCASTLE RDNIXA, MO, 657147183Browse MO providers · Browse ZIP 65714
- Phone
- 4177259302
- Primary Specialty
-
Geriatric Pharmacist
1835G0303X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.