Individual
MR. GARY BRYANT ANGELO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1824 HOOPER AVE, TOMS RIVER, NJ 08753-8163
(732) 255-3121
(732) 255-3249
Mailing address
1824 HOOPER AVE, TOMS RIVER, NJ 08753-8163
(732) 255-3121
(732) 255-3249
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI01287400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28RI01287400
PHARMACY LICENSE REGISTRA
NJ
Enumeration date
11/07/2006
Last updated
07/08/2007
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