Individual
DIANA LOURENCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
76 FULTON ST, CLARK, NJ 07066-1878
(908) 578-3104
Mailing address
76 FULTON ST, CLARK, NJ 07066-1878
(908) 578-3104
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI04285900
NJ
Other
Enumeration date
04/20/2026
Last updated
04/20/2026
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