Provider Demographics
NPI:1851676316
Name:GROENE, MICHELLE FIORITO (RPH)
Entity Type:Individual
Prefix:
First Name:MICHELLE
Middle Name:FIORITO
Last Name:GROENE
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:606 BUTTERMILK PIKE
Mailing Address - Street 2:
Mailing Address - City:CRESCENT SPRINGS
Mailing Address - State:KY
Mailing Address - Zip Code:41017-1302
Mailing Address - Country:US
Mailing Address - Phone:859-344-1824
Mailing Address - Fax:
Practice Address - Street 1:606 BUTTERMILK PIKE
Practice Address - Street 2:
Practice Address - City:CRESCENT SPRINGS
Practice Address - State:KY
Practice Address - Zip Code:41017-1302
Practice Address - Country:US
Practice Address - Phone:859-344-1824
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-10-17
Last Update Date:2022-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03122481183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist