Individual
MARY TREZ HASABALLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
573 BROADWAY, BAYONNE, NJ 07002-3830
(973) 453-4071
Mailing address
573 BROADWAY, BAYONNE, NJ 07002-3830
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI04070000
NJ
Other
Enumeration date
01/11/2021
Last updated
01/11/2021
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