Individual
MS. ELIZABETH LATERZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
420 GRAND ST, JERSEY CITY, NJ 07302-4240
(201) 432-5513
Mailing address
37 OAKWOOD AVE, BLOOMFIELD, NJ 07003-6045
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI0725400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28RI0725400
STATE LICENSE
NJ
Enumeration date
06/12/2012
Last updated
06/12/2012
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