Individual
ALEXIS GONCALVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1633 SPRINGFIELD AVE, MAPLEWOOD, NJ 07040-2922
(761) 739-1973
Mailing address
512 MAGIE AVE, ELIZABETH, NJ 07208-1603
(908) 577-2364
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI04427500
NJ
Other
Enumeration date
03/14/2025
Last updated
03/14/2025
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