GRIDER DRUG LLC
2431b Lakeway Dr
Russell Springs, KY 42642
270-866-7541
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 3336C0003X | Suppliers - Pharmacy - Community/Retail Pharmacy | KY | P06731 |
Y | 332B00000X | Suppliers - Durable Medical Equipment & Medical Supplies | KY | P06731 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
4500249000 | KY | MEDICAID | |
90009978 | KY | MEDICAID | |
54008537 | KY | MEDICAID |