Provider Demographics
NPI:1558850347
Name:GRASMICK, DREW SAMUEL (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:DREW
Middle Name:SAMUEL
Last Name:GRASMICK
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 NEWARK AVE
Mailing Address - Street 2:
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07302-2903
Mailing Address - Country:US
Mailing Address - Phone:201-433-0108
Mailing Address - Fax:201-433-0214
Practice Address - Street 1:110 NEWARK AVE
Practice Address - Street 2:
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07302-2903
Practice Address - Country:US
Practice Address - Phone:201-433-0108
Practice Address - Fax:201-433-0214
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-07
Last Update Date:2018-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI03876900183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist