Individual
AVERY GRONDIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
8015 NIAGARA FALLS BLVD, NIAGARA FALLS, NY 14304-1709
(716) 283-9430
Mailing address
6420 TONAWANDA CREEK RD, LOCKPORT, NY 14094-7954
(716) 303-9337
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
070954
NY
Other
Enumeration date
10/02/2023
Last updated
10/02/2023
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