Thane Z Grover, PHARM.D.

NPI #1124275383 in Afton, Wyoming

Provider Information

NPI Number: 1124275383
Entity Type: Individual
Name: Thane Z Grover, PHARM.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: PHARM.D.
Enumeration Date: Aug 19, 2008
Last Updated: Dec 21, 2012

Practice Location

Address: 141 N. WASHINGTON ST.
Address 2: BROULIM'S PHARMACY
City: Afton
State: Wyoming
ZIP Code: 83110
Phone: (307) 885-5550

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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