Individual
MR. MARVIN WAINWRIGHT JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
5 WILKINS STATION RD, SUITE 100, MEDFORD, NJ 08055-9606
(609) 975-8197
(609) 975-8223
Mailing address
5 WILKINS STATION RD, SUITE 100, MEDFORD, NJ 08055-9606
(609) 975-8197
(609) 975-8223
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI024224
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28RI024224
NJ STATE LICENSE
NJ
Enumeration date
03/23/2014
Last updated
12/23/2020
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