Individual
DR. DOMINICK ANTHONY GROSSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
20427 N 27TH AVE, PHOENIX, AZ 85027-3241
(623) 869-6100
Mailing address
5408 W JOAN DE ARC AVE, GLENDALE, AZ 85304-1386
(602) 739-0913
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S022812
AZ
Other
Enumeration date
08/17/2017
Last updated
08/17/2017
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