Individual
JOHN OTCHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
669 PROSPECT ST, MAPLEWOOD, NJ 07040-2703
(973) 762-4185
Mailing address
669 PROSPECT ST, MAPLEWOOD, NJ 07040-2703
(973) 762-4185
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI013910
NJ
Other
Enumeration date
03/08/2007
Last updated
07/08/2007
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