National Provider Identifier
Avery Grondin, PHARMD
Avery Grondin, PHARMD is listed in the NPPES registry with a primary specialty of Pharmacist in Niagara Falls, NY and a listed phone number of (716) 283-9430.
Profile Overview
- NPI
- 1356121065
- Provider Type
- Individual
- Primary Specialty
- Pharmacist
- Enumeration Date
- October 02, 2023
- Last Updated
- October 02, 2023
Practice Location
- 8015 Niagara Falls Blvd
- Niagara Falls, NY 14304-1709
Phone: (716) 283-9430
Mailing Address
- 6420 Tonawanda Creek RD
- Lockport, NY 14094-7954
Specialties
- Pharmacist (183500000X)
Full Record
- NPI
- 1356121065
- Entity Type
- Individual
- Last Name
- Grondin
- First Name
- Avery
- Credential
- PHARMD
- Mailing Street Address
- 6420 Tonawanda Creek RD
- Mailing City
- Lockport
- Mailing State
- NY
- Mailing ZIP Code
- 14094-7954
- Mailing Country
- US
- Mailing Phone
- (716) 303-9337
- Practice Street Address
- 8015 Niagara Falls Blvd
- Practice City
- Niagara Falls
- Practice State
- NY
- Practice ZIP Code
- 14304-1709
- Practice Country
- US
- Practice Phone
- (716) 283-9430
- Enumeration Date
- October 02, 2023
- Last Updated
- October 02, 2023
- Sex
- Male
- Sole Proprietor
- Yes
- Certification Date
- September 30, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pharmacist (183500000X)