Individual
ESRA ALRUSAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1104 RINGWOOD AVE, HASKELL, NJ 07420-1515
(973) 831-3111
Mailing address
10 JACKSONVILLE RD, TOWACO, NJ 07082-1107
(732) 540-8240
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI04375500
NJ
Other
Enumeration date
08/21/2024
Last updated
08/21/2024
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