Individual
MR. MARK ALLEN CHASE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
100I COMMERCE WAY, TOTOWA, NJ 07512-3122
(973) 890-7735
Mailing address
100I COMMERCE WAY, TOTOWA, NJ 07512-3122
(973) 890-7735
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI02616900
NJ
Other
Enumeration date
04/16/2010
Last updated
04/16/2010
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