Individual
MR. BALAKACHETTY RADHAKEISHNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
225 GEORGE STREET, NEW BRUNSWICK, NJ 08901
(732) 545-0582
(732) 545-0583
Mailing address
225 GEORGE STREET,, NEW BRUNSWICK, NJ 08901
(732) 545-0582
(732) 545-0583
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI01593300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4396804
—
NJ
Enumeration date
02/28/2022
Last updated
02/28/2022
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