Individual
ENA BESIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
425 JACK MARTIN BLVD, BRICK, NJ 08724-7732
(732) 840-3330
Mailing address
425 JACK MARTIN BLVD, BRICK, NJ 08724-7732
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI04000200
NJ
Other
Enumeration date
06/01/2026
Last updated
06/01/2026
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