Individual
BOAS PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
301 N HARRISON ST, PRINCETON, NJ 08540-3512
(609) 924-6125
Mailing address
73 JUNIPER WAY, HAMILTON, NJ 08619-4612
(201) 983-3633
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI03493900
NJ
Other
Enumeration date
06/03/2014
Last updated
06/03/2014
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