Individual
DEANNA L SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
72 CRESCENT AVE, WALDWICK, NJ 07463-1345
(201) 444-2754
Mailing address
72 CRESCENT AVE, WALDWICK, NJ 07463-1345
(201) 444-2754
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
28RW00326800
NJ
Other
Enumeration date
10/28/2011
Last updated
10/28/2011
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