Individual
DR. HEIDI KOUKOURDELIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
101 POLIFLY RD, HACKENSACK, NJ 07601-3209
(201) 525-1149
Mailing address
101 POLIFLY RD, HACKENSACK, NJ 07601-3209
(201) 525-1149
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI04475500
NJ
Other
Enumeration date
01/09/2026
Last updated
01/09/2026
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