Provider Demographics
NPI:1790199321
Name:GRONER, SCOTT (PHARM D)
Entity Type:Individual
Prefix:
First Name:SCOTT
Middle Name:
Last Name:GRONER
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 1:3 REGENT ST
Mailing Address - Street 2:SUITE 306
Mailing Address - City:LIVINGSTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07039-1668
Mailing Address - Country:US
Mailing Address - Phone:973-396-0537
Mailing Address - Fax:
Practice Address - Street 1:3 REGENT ST
Practice Address - Street 2:SUITE 306
Practice Address - City:LIVINGSTON
Practice Address - State:NJ
Practice Address - Zip Code:07039-1668
Practice Address - Country:US
Practice Address - Phone:973-396-0537
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-11
Last Update Date:2014-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP4376501835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist