Individual
HAERI PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1681 FLETCHER AVE, FORT LEE, NJ 07024
(201) 944-1214
Mailing address
508 ORCHARD AVE, PALISADES PARK, NJ 07650-1326
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI03478400
NJ
Other
Enumeration date
12/03/2020
Last updated
12/03/2020
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