Individual
JEREMY LAIKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
37 OLD HIGHWAY 22, CLINTON, NJ 08809-1342
(410) 218-1419
Mailing address
217 PROSPECT AVE, APT 12-2B, CRANFORD, NJ 07016-2256
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI03357200
NJ
Other
Enumeration date
03/14/2011
Last updated
03/14/2011
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