Provider Demographics
NPI:1063784296
Name:GRBICH, OLGA (RPH)
Entity type:Individual
Prefix:MRS
First Name:OLGA
Middle Name:
Last Name:GRBICH
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 1:1939 INDIANAPOLIS BLVD
Mailing Address - Street 2:PHARMACY DEPT.
Mailing Address - City:WHITING
Mailing Address - State:IN
Mailing Address - Zip Code:46394
Mailing Address - Country:US
Mailing Address - Phone:219-659-3541
Mailing Address - Fax:219-473-9124
Practice Address - Street 1:1939 INDIANAPOLIS BLVD
Practice Address - Street 2:PHARMACY DEPT.
Practice Address - City:WHITING
Practice Address - State:IN
Practice Address - Zip Code:46394
Practice Address - Country:US
Practice Address - Phone:219-659-3541
Practice Address - Fax:219-473-9124
Is Sole Proprietor?:No
Enumeration Date:2012-02-03
Last Update Date:2012-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN26015455A183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist