Individual
ALICIA GRADOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
4433 VANGUARD DR, SHEBOYGAN, WI 53083-6067
(920) 459-9410
Mailing address
320 E RHINE ST, ELKHART LAKE, WI 53020-1992
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
22800-40
WI
Other
Enumeration date
09/12/2024
Last updated
09/12/2024
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