Individual
MR. LAWRENCE KAUFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
25 W MAIN ST, MAPLE SHADE, NJ 08052-2411
(856) 779-8300
(856) 779-9022
Mailing address
25 W MAIN ST, MAPLE SHADE, NJ 08052-2411
(856) 779-8300
(856) 779-9022
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI01790800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4397606
—
NJ
Enumeration date
09/02/2010
Last updated
09/02/2010
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