Individual provider · Type 1 NPI

Jack Gruenberg, R. PH.

Pharmacist · Park Ridge, NJ

NPI number 1750600540 Active

Practice location

27 Fourth Street
Park Ridge, NJ 07656-1902

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X054468 (NY)
Pharmacist 183500000X16429 (NJ)

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 1750600540

Jack Gruenberg, R. PH.'s National Provider Identifier is 1750600540, issued on May 19, 2010. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Park Ridge, NJ. The record was last updated on May 19, 2010.