Individual
KELLY GOLDBACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
92 ANNIN RD, WEST CALDWELL, NJ 07006-6925
(973) 376-0137
Mailing address
92 ANNIN RD, WEST CALDWELL, NJ 07006-6925
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI02438000
NJ
Other
Enumeration date
09/23/2011
Last updated
09/23/2011
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