Registry details
Type
Individual
Primary specialty
Pharmacist
Enumerated
Jan 13, 2020
License(s)
28RI04004200 (NJ)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 144 ADELAIDE AVE | Staten Island, NY 10306-3919 | 718-757-2315 |
| LOCATION | 104 12TH AVE | Newark, NJ 07107-3004 | 973-621-0580 |
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