Individual
MR. JEFFREY SALVATORE BASILE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BACHLORS OF PHARMACY
Contact information
Practice address
646 7TH ST, LYNDHURST, NJ 07071-3115
(201) 438-5768
Mailing address
646 7TH ST, LYNDHURST, NJ 07071-3115
(201) 438-5768
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI02828200
NJ
Other
Enumeration date
08/14/2006
Last updated
07/08/2007
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