Individual
JENNIFER BECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
593 MARKET ST, ELMWOOD PARK, NJ 07407-3111
(201) 797-5839
Mailing address
9B TRIUMPH CT, EAST RUTHERFORD, NJ 07073-1145
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RI02797300
NJ
Other
Enumeration date
09/13/2011
Last updated
09/13/2011
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