Individual
AMANDA DE LA ROCA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
130 BLACK HORSE PIKE, AUDUBON, NJ 08106-1960
(856) 310-1519
Mailing address
130 BLACK HORSE PIKE, AUDUBON, NJ 08106-1960
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI04485200
NJ
Other
Enumeration date
04/16/2026
Last updated
04/16/2026
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