Valarie Susan Grube, RPH
Individual provider Active NPI Pharmacist · Bath, PA
NPI 1982930269 · NPPES record last updated Oct 21, 2009
Key facts
- NPI
- 1982930269
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- RP1001145 (PA)
- Practice address
- 2695 Kendall LN
Bath, PA 18014-9564 - Phone
- (610) 837-7859
- NPI assigned
- Oct 21, 2009
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP1001145 | PA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP1001145 | PA | Yes |
Addresses
Primary practice location
2695 Kendall LN
Bath, PA 18014-9564
Mailing address
2695 Kendall LN
Bath, PA 18014-9564
Phone (610) 837-7859
Other providers in Bath, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 21, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.