Individual
MARY LOU HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
115 N BROADWAY, SOUTH AMBOY, NJ 08879-1648
(732) 721-1732
Mailing address
115 N BROADWAY, SOUTH AMBOY, NJ 08879-1648
(732) 721-1732
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI01647600
NJ
Other
Enumeration date
08/31/2016
Last updated
08/31/2016
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