Individual
MS. DACIA GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1998 BRUCKNER BLVD, BRONX, NY 10473-2500
(718) 430-9513
(718) 430-1589
Mailing address
1998 BRUCKNER BLVD, BRONX, NY 10473-2500
(718) 430-9513
(718) 430-1589
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
055397-1
NY
183500000X
Pharmacist
Primary
PCT.0011175
CT
Other
Enumeration date
01/30/2011
Last updated
01/30/2011
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