Susan L Groom, PHARMD is a
Pharmacist based in Grant City, Missouri. Susan L Groom is licensed to practice in Missouri (license number 2000164251) and her current practice location is
Rr 2 Box 46, Grant City, Missouri. She can be reached at her office (for appointments etc.) via phone at
(660) 326-2183.
NPI number for Susan L Groom is 1467650408 and her current mailing address is Rr 2 Box 46, Grant City, Missouri. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1467650408.
Healthcare Provider's Profile
Full Name | Susan L Groom |
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Gender | Female |
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Speciality | Pharmacist |
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Location | Rr 2 Box 46, Grant City, Missouri |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1467650408
- Provider Enumeration Date: 07/10/2007
- Last Update Date: 07/10/2007
Medical Identifiers
Medical identifiers for Susan L Groom such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1467650408 | NPI | - | NPPES |
2000164251 | Other | MO | BOARD OF PHARMACY |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
183500000X | Pharmacist | 2000164251 (Missouri) | Primary |
171M00000X | Case Manager/care Coordinator | (Missouri) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Susan L Groom is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Susan L Groom, PHARMD Rr 2 Box 46, Grant City, MO 64456-8948 Ph: (660) 326-2183 | Susan L Groom, PHARMD Rr 2 Box 46, Grant City, MO 64456-8948 Ph: (660) 326-2183 |
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