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Individual

CHRISTINE NICOLE COSICO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
25 E RED BANK AVE, WOODBURY, NJ 08096-1610
(856) 853-4600
Mailing address
1743 FEDERAL ST, PHILADELPHIA, PA 19146-3015
(856) 889-5615

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
28RI03441100
NJ

Other

Enumeration date
11/30/2020
Last updated
11/30/2020
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