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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MALCOLM GRANDERSON

Active Sole Proprietor

MALCOLM GRANDERSON is a Pharmacist healthcare provider located in KEARNY, New Jersey. NPI 1972109890 is currently active in the NPPES registry. Verify at CMS.

Pharmacist · KEARNY, NJ

Registration Details

NPI Number
1972109890
Provider Type
Individual
Gender
Male
NPI Issued
Dec 7, 2020 (5.6674965564602 yrs)
Last Updated
Dec 7, 2020
License
28RI02117400 (NJ)
Sole Proprietor
Yes

Practice Information

Address
100 PASSAIC AVE
KEARNY, NJ, 070321140
Browse NJ providers · Browse ZIP 07032
Phone
2019913568
Fax
2019914272
Primary Specialty
Pharmacist
183500000X

Other Pharmacist Providers in KEARNY, NJ

Name Credential NPI
MR. MANILAL A PATEL RPH 1184763534
MR. DOMINICK ZINNA R.PH 1942490800
MRS. ALDA REVERENDO RPH 1619147857
KUNJESH A PATEL PHARMD 1801125885
DANIEL KELLNER PHARM D 1649583618
ANITA HILLARY PHARM.D. 1467750836
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.