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Individual
DR. JUSTIN BIVONA
Active
Individual
DR. JUSTIN BIVONA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD, RPH
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI03526100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28RI03526100
NJ BOARD OF PHARMACY PHARMACIST LICENSE
NJ
Enumeration date
05/16/2014
Last updated
05/16/2014
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