Individual
BRIAN KNUDSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
471 MAIN ST, CHATHAM, NJ 07928-2102
(732) 406-3268
Mailing address
471 MAIN ST, CHATHAM, NJ 07928-2102
(973) 635-4636
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI03314000
NJ
Other
Enumeration date
11/27/2020
Last updated
11/27/2020
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