Thane Grover, PHARM.D

NPI 1124275383 · on the registry since 2008

Practice

Address: 141 N. Washington St.
Broulim'S Pharmacy
Afton, WY 83110
Phone: (307) 885-5550
Organisation at this address: Afton Family Pharmacy
Broulim Supermarkets, Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy: 183500000X
183500000X
Also registered as: 183500000X
183500000X
Licence states on file: ID, OR, WY
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2012-12-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wyoming