Individual
NICHOLAS GRILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
51 N 39TH ST, PHILADELPHIA, PA 19104-2640
(609) 828-8802
Mailing address
128 FOX CHASE LN, CHERRY HILL, NJ 08034-2804
(609) 828-8802
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
28RI04314300
NJ
1835P2201X
Ambulatory Care Pharmacist
Primary
RP458486
PA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
05/22/2023
Last updated
10/23/2024
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