Individual
KEZIE ADAKU EGBUCHULAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
600 MYRTLE AVE, BOONTON, NJ 07005-1940
(973) 939-9021
(973) 939-2368
Mailing address
34 FARBER HILL RD, BOONTON TOWNSHIP, NJ 07005-9223
(973) 265-4479
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI02485100
NJ
Other
Enumeration date
09/20/2011
Last updated
09/20/2011
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