Individual
JUSTIN SOUTHWICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
2000 CLEMENTS BRIDGE RD, DEPTFORD, NJ 08096-2016
(856) 853-0219
Mailing address
2000 CLEMENTS BRIDGE RD, WOODBURY, NJ 08096-2016
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI04162200
NJ
Other
Enumeration date
03/08/2021
Last updated
03/08/2021
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