Provider Demographics
NPI:1164966792
Name:GRIMSLEY, MEERA (PHARMD)
Entity Type:Individual
Prefix:
First Name:MEERA
Middle Name:
Last Name:GRIMSLEY
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3431 E ROSEMONTE DR
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85050-3235
Mailing Address - Country:US
Mailing Address - Phone:602-370-1762
Mailing Address - Fax:
Practice Address - Street 1:6321 E GREENWAY RD
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85254-1910
Practice Address - Country:US
Practice Address - Phone:480-368-8930
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-12-16
Last Update Date:2016-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZS022291183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist