Individual
THOMAS ENRICO GRANDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
8579 S EASTERN AVE, SUITE B, LAS VEGAS, NV 89123-2887
(702) 792-3777
Mailing address
8660 S MILLER LN, LAS VEGAS, NV 89113-5323
(702) 871-2590
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
7720
NV
Other
Enumeration date
08/20/2016
Last updated
08/20/2016
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