Individual provider · Type 1 NPI

Jordan Malik Grant

Pharmacist · Champaign, IL

NPI number 1124893474 Active

Practice location

1713 W Springfield Ave
Champaign, IL 61821-3011

Call (217) 356-2529 Map

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X051305983 (IL)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1124893474

Jordan Malik Grant's National Provider Identifier is 1124893474, issued on Nov 16, 2023. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Champaign, IL. The record was last updated on Nov 16, 2023.