Thomas Enrico Grande, RPH

NPI #1003361999 in Las Vegas, Nevada

Provider Information

NPI Number: 1003361999
Entity Type: Individual
Name: Thomas Enrico Grande, RPH
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: RPH
Enumeration Date: Aug 20, 2016
Last Updated: Aug 20, 2016

Practice Location

Address: 8579 S EASTERN AVE
Address 2: SUITE B
City: Las Vegas
State: Nevada
ZIP Code: 89123-2887
Phone: (702) 792-3777

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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