Individual
JERRY COUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
421 RYDERS LN, EAST BRUNSWICK, NJ 08816-2700
(732) 254-6609
Mailing address
59 CHURCH RD, MORGANVILLE, NJ 07751-1367
(732) 887-8339
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI02586300
NJ
Other
Enumeration date
01/10/2024
Last updated
01/10/2024
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