Individual
DAN GRANSINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4515 E THOMAS RD, PHOENIX, AZ 85018-7614
(602) 840-9787
Mailing address
4515 E THOMAS RD, PHOENIX, AZ 85018
(602) 840-9787
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S12065
AZ
Other
Enumeration date
06/28/2011
Last updated
06/28/2011
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