| Thane Z Grover, PHARMD | |
|
141 N. Washington St., Broulim's Pharmacy, Afton, WY 83110 | |
| (307) 885-5550 | |
| Not Available |
| Full Name | Thane Z Grover |
|---|---|
| Gender | Male |
| Speciality | Pharmacist |
| Location | 141 N. Washington St., Afton, Wyoming |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124275383 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 183500000X | Pharmacist | P6205 (Idaho) | Secondary |
| 183500000X | Pharmacist | RPH-0012033 (Oregon) | Secondary |
| 183500000X | Pharmacist | 3605 (Wyoming) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Thane Z Grover, PHARMD Po Box 11, 883 Stump Creek Rd, Auburn, WY 83111-0011 Ph: (307) 413-1335 | Thane Z Grover, PHARMD 141 N. Washington St., Broulim's Pharmacy, Afton, WY 83110 Ph: (307) 885-5550 |
Zachary Jack Ivie, Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 679 S Washington St, Afton, WY 83110 Phone: 307-885-9804 Fax: 307-885-9760 | |
Mr. Daniel Boyd Richons, RPH Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 439 Washington St., Afton, WY 83110 Phone: 307-885-9804 Fax: 307-885-9760 | |
Rhet Mitchell Long, PHARMD Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 307 S Washington, Afton, WY 83110 Phone: 307-885-6337 Fax: 307-885-6339 | |
Dr. Colter Jess Haderlie, Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 679 S Washington St, Afton, WY 83110 Phone: 307-885-9804 Fax: 307-885-9760 |