Individual
LEON GRAZUL JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
2 ROXBURY MALL STRIP, SHOP RITE PHARMACY, SUCCASUNNA, NJ 07876
(973) 584-4466
(973) 584-4648
Mailing address
7 ROCKLEDGE RD, RANDOLPH, NJ 07869-4335
(973) 584-4466
(973) 584-4648
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI01587400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28RI01587400
STATE LICENSE
NJ
Enumeration date
04/12/2012
Last updated
04/12/2012
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