Most Relevant Information
Provider Data
| NPI Number: | 1003361999 |
| Provider Name: | THOMAS ENRICO GRANDE RPH |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 7720 |
Most Important Dates
| Enumeration Date: | 08/20/2016 |
| Last Updated: | 08/20/2016 |
Provider Practice Location
8579 S EASTERN AVE
SUITE B
LAS VEGAS
NV
891232887
Practice Location Phone/Fax
| Phone: | 7027923777 |
| Fax: |
Provider Mailing Location
8660 S MILLER LN
LAS VEGAS
NV
891135323
Provider Mailing Phone/Fax
| Phone: | 7028712590 |
| Fax: |