Individual
JESSICA VAZQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMACIST
Contact information
Practice address
19 FAIRWAY W, COLTS NECK, NJ 07722-1420
(787) 210-7892
Mailing address
19 FAIRWAY W, COLTS NECK, NJ 07722-1420
(787) 210-7892
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI03818600
NJ
Other
Enumeration date
09/12/2018
Last updated
09/12/2018
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