Individual
ALISA LO FRANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
21 N 20TH ST, KENILWORTH, NJ 07033-1613
(908) 705-5911
Mailing address
21 N 20TH ST, KENILWORTH, NJ 07033-1613
(908) 705-5911
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RIO2948800
NJ
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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