FREDRICK VINCENT DA GRAVA

LEXINGTON, KY
NPI1548406408
Other NameVINCE DA GRAVA
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: OH  RPH 03216613)
Additional Taxonomies1835N0905X Pharmacist, Nuclear
(Licence: OH  032166)
183500000X Pharmacist
(Licence: WV  RP 0005030)
183500000X Pharmacist
(Licence: KY  011753)
183500000X Pharmacist
(Licence: TN  0000008755)
Enumeration Date2008-12-24
Last Update Date2019-12-24
Business Address
FREDRICK VINCENT DA GRAVA PD, R.Ph., FASCP
3225 DARLINGTON CIR
LEXINGTON, KY 40509-2378
Phone number: 859-552-5013
Mailing Address
FREDRICK VINCENT DA GRAVA PD, R.Ph., FASCP
3225 DARLINGTON CIR
LEXINGTON, KY 40509-2378
Phone number: 859-552-5013