JORDAN MALIK GRANT

CHAMPAIGN, IL
NPI1124893474
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: IL  051305983)
Enumeration Date2023-11-16
Last Update Date2023-11-16
Business Address
JORDAN MALIK GRANT
1713 W SPRINGFIELD AVE
CHAMPAIGN, IL 61821-3011
Phone number: 217-356-2529
Mailing Address
JORDAN MALIK GRANT
1713 W SPRINGFIELD AVE
CHAMPAIGN, IL 61821-3011
Phone number:
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