Individual
CRISTA GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D
Contact information
Practice address
219-14 MERRICK BLVD, SPRINGFIELD GARDENS, NY 11413
(718) 712-7895
Mailing address
219-14 MERICK BLVD, SPRINGFIELD GARDENS, NY 11413
(718) 712-7895
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051417
NY
Other
Enumeration date
03/29/2010
Last updated
03/29/2010
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