Malcolm Granderson
Malcolm Granderson is a Pharmacist in Kearny, New Jersey. Practices as a sole proprietor. Licensed in New Jersey.
- Licensed in
- NJ
- In the registry since
- 2020
Practice location Address checks out
100 Passaic AveKearny, NJ 07032-1140
Phone: (201) 991-3568
Fax: (201) 991-4272
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pharmacist (primary) | Taxonomy 183500000X · Licence 28RI02117400 (NJ) |
|---|
Record details
| NPI number | 1972109890 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | December 7, 2020 |
| Last updated in NPPES | December 7, 2020 |
| Certification date | December 7, 2020 |
| Mailing address | 100 Passaic Ave, Kearny, NJ 07032-1140 |
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