Provider Demographics
NPI:1669833604
Name:GRAZIOLI, JENNIFER M (PHARMD)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:M
Last Name:GRAZIOLI
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:953 ROUTE 33
Mailing Address - Street 2:
Mailing Address - City:HAMILTON SQUARE
Mailing Address - State:NJ
Mailing Address - Zip Code:08690-2707
Mailing Address - Country:US
Mailing Address - Phone:609-890-2846
Mailing Address - Fax:
Practice Address - Street 1:953 ROUTE 33
Practice Address - Street 2:
Practice Address - City:HAMILTON SQUARE
Practice Address - State:NJ
Practice Address - Zip Code:08690-2707
Practice Address - Country:US
Practice Address - Phone:609-890-2846
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-03-18
Last Update Date:2016-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI02947000183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist