Individual
LUAY ZAIDAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
204 LAKEVIEW AVE, PATERSON, NJ 07503-1001
(973) 968-1671
Mailing address
200 -204 LAKEVIEW AVE, PATERSON, NJ 07503
(973) 968-1671
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI03544500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28RI03544500
BOARD OF PHARMACY - LICENSED PHARMACIST
NJ
Enumeration date
09/16/2016
Last updated
09/16/2016
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