IndividualActive
Jacqueline Grohman
NPI 1740595529 · Pharmacist · Lytle, TX
Provider details
- NPI number
- 1740595529
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 40825 (TX)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
19565 Ih 35 S
Lytle, TX 78052
Phone: (830) 772-4360
Approximate (ZIP-level) locationGet directions
Mailing address
1150 County Road 456
Hondo, TX 78861-5658
Registry dates
- Enumerated
- 2010-08-17
- Last updated
- 2010-08-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.