Individual
GRACE KHEZAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
291 GRANT AVE, TOTOWA, NJ 07512-2513
(973) 968-9768
Mailing address
291 GRANT AVE, TOTOWA, NJ 07512-2513
(973) 968-9768
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI04482900
NJ
Other
Enumeration date
02/16/2026
Last updated
02/16/2026
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