Provider Demographics
NPI:1265415020
Name:GRAZIANO, DEAN ORLANDO (PHARM D)
Entity type:Individual
Prefix:DR
First Name:DEAN
Middle Name:ORLANDO
Last Name:GRAZIANO
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 1:131 DORCHESTER WAY
Mailing Address - Street 2:
Mailing Address - City:SHREWSBURY
Mailing Address - State:NJ
Mailing Address - Zip Code:07702-4543
Mailing Address - Country:US
Mailing Address - Phone:732-221-7494
Mailing Address - Fax:732-471-9100
Practice Address - Street 1:877 MAIN ST
Practice Address - Street 2:
Practice Address - City:BELFORD
Practice Address - State:NJ
Practice Address - Zip Code:07718-2001
Practice Address - Country:US
Practice Address - Phone:732-471-9100
Practice Address - Fax:732-471-9120
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-25
Last Update Date:2014-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI02067700183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist