Individual
JOHANNA RUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
540 PASSAIC AVE, WEST CALDWELL, NJ 07006-7449
(973) 575-0030
Mailing address
540 PASSAIC AVE, WEST CALDWELL, NJ 07006-7449
(973) 575-0030
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI03217100
NJ
Other
Enumeration date
08/02/2012
Last updated
08/02/2012
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