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Individual

KEVIN SCOTT SNELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
455 RTE 23, SUSSEX, NJ 07461-2212
(973) 875-5701
Mailing address
39 PIDGEON HILL RD, SUSSEX, NJ 07461-2731
(973) 702-7591

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RS00608200
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
28RS00608200
RPH LICENSE
NJ
Enumeration date
02/21/2008
Last updated
02/21/2008
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