Individual provider · Type 1 NPI

Jerry Vance Grimmitt, RPH

Pharmacist · Rossville, GA

NPI number 1871668020 Active

Practice location

785 Chickamauga Av, Longley Pharmacy
Rossville, GA 30741

Fax (706) 861-7505

Mailing address

2196 Gourge Rd
Henagar, AL 35978

Specialties and licenses

TaxonomyCodeLicense
Pharmacist 183500000X507 (TN)
Pharmacist Primary 183500000X20271 (GA)
Pharmacist 183500000X9494 (AL)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1871668020

Jerry Vance Grimmitt, RPH's National Provider Identifier is 1871668020, issued on Nov 22, 2006. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Rossville, GA. The record was last updated on Jul 8, 2007.