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NPI 1205009016

IndividualActive

Alisa Grismer, PHARMD

NPI 1205009016 · Pharmacist · Maple Grove, MN

Provider details

NPI number: 1205009016
Entity type: Individual
Primary specialty: PharmacistPharmacy Service Providers
Credential: PHARMD
Sex: Female
Sole proprietor: Yes
License: 117219 (MN)

Practice location

15800 95th Ave N

Park Nicollet

Maple Grove, MN 55369-4400

Phone: (952) 993-1414

Fax: (952) 993-1389

More MN providers

Mailing address

15800 95th Ave N

Maple Grove, MN 55369-4400

Registry dates

Enumerated: 2008-04-12
Last updated: 2013-07-26

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Alisa Grismer, PHARMD — NPI 1205009016, Maple Grove, MN | NPI Central