Provider Demographics
NPI:1093074817
Name:GRILL, FRANK J (RPH)
Entity Type:Individual
Prefix:
First Name:FRANK
Middle Name:J
Last Name:GRILL
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:305 ALPINE DR NW
Mailing Address - Street 2:
Mailing Address - City:VALDESE
Mailing Address - State:NC
Mailing Address - Zip Code:28690-8840
Mailing Address - Country:US
Mailing Address - Phone:828-879-9203
Mailing Address - Fax:
Practice Address - Street 1:298 PERKINS RD SE
Practice Address - Street 2:
Practice Address - City:VALDESE
Practice Address - State:NC
Practice Address - Zip Code:28690-9403
Practice Address - Country:US
Practice Address - Phone:828-580-5464
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-14
Last Update Date:2012-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC061941835G0303X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835G0303XPharmacy Service ProvidersPharmacistGeriatric