Individual
LAXMI KANDALAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
31-00 BROADWAY, FAIR LAWN, NJ 07410-3963
(201) 693-4088
Mailing address
215 CHARLES ST, CLIFTON, NJ 07013-3853
(973) 865-7734
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI02388200
NJ
Other
Enumeration date
08/28/2018
Last updated
08/28/2018
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