Malcolm Granderson
NPI #1972109890 in Kearny, New Jersey
Provider Information
- NPI Number
- 1972109890
- Entity Type
- Individual
- Name
- Malcolm Granderson
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Pharmacist
- Enumeration Date
- Dec 7, 2020
- Last Updated
- Dec 7, 2020
Practice Location
- Address
- 100 PASSAIC AVE
- City
- Kearny
- State
- New Jersey
- ZIP Code
- 07032-1140
- Phone
- (201) 991-3568
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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