Jordan Malik Grant
Jordan Malik Grant is a Pharmacist in Champaign, Illinois. Licensed in Illinois. Registered with an NPI since 2023.
- Licensed in
- IL
- In the registry since
- 2023
Practice location Address checks out
1713 W Springfield AveChampaign, IL 61821-3011
Phone: (217) 356-2529
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pharmacist (primary) | Taxonomy 183500000X · Licence 051305983 (IL) |
|---|
Record details
| NPI number | 1124893474 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | November 16, 2023 |
| Last updated in NPPES | November 16, 2023 |
| Certification date | November 16, 2023 |
| Mailing address | 1713 W Springfield Ave, Champaign, IL 61821-3011 |
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