IndividualActive
John Gruber, RPH, CGP, FASCP
NPI 1750452942 · Geriatric Pharmacist · Edwardsville, IL
Provider details
- NPI number
- 1750452942
- Entity type
- Individual
- Primary specialty
- Geriatric PharmacistPharmacy Service Providers
- Credential
- RPH, CGP, FASCP
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Pharmacy Service Providers
Practice location
8615 Goshen Rd
Edwardsville, IL 62025-6913
Phone: (618) 656-3348
Approximate (ZIP-level) locationGet directions
Mailing address
8615 Goshen Rd
Edwardsville, IL 62025-6913
Registry dates
- Enumerated
- 2006-11-11
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.