Individual
KHA-THE DU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
57 E CENTRE ST, APT 1315, NUTLEY, NJ 07110-5410
(860) 681-2970
Mailing address
57 E CENTRE ST, APT 1315, NUTLEY, NJ 07110-5410
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI03713000
NJ
Other
Enumeration date
07/30/2015
Last updated
07/30/2015
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