Individual
KELLY VUONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 BROADWAY, ELMWOOD PARK, NJ 07407-3025
(201) 796-0204
Mailing address
100 BROADWAY, ELMWOOD PARK, NJ 07407-3025
(201) 796-0204
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI03852500
NJ
Other
Enumeration date
08/13/2020
Last updated
08/13/2020
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