Individual
ALISON GRANDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2320 W RYAN RD, OAK CREEK, WI 53154-4325
(414) 761-1692
(855) 784-5296
Mailing address
1417 S 124TH ST, NEW BERLIN, WI 53151-1801
(262) 794-3661
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
1-14502
KS
183500000X
Pharmacist
Primary
13652-40
WI
183500000X
Pharmacist
16790
CO
183500000X
Pharmacist
2008027635
MO
183500000X
Pharmacist
61415
CA
Other
Enumeration date
10/01/2011
Last updated
03/07/2014
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