Individual
KIMBERLY KOROTKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 LACEY RD, WHITING, NJ 08759-1325
(732) 716-1787
Mailing address
1381 NEWARK AVE, WHITING, NJ 08759-3911
(609) 334-9546
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI03605300
NJ
Other
Enumeration date
12/09/2020
Last updated
11/19/2023
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