Individual
MS. JULIE M TABANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
655 WYCKOFF AVE, WYCKOFF, NJ 07481-1429
(201) 891-5373
Mailing address
90 PLEASANT AVE, GARFIELD, NJ 07026-2041
(201) 906-7090
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI02421400
NJ
Other
Enumeration date
09/21/2011
Last updated
09/21/2011
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