Individual
DR. GABRIEL OUELLETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D
Contact information
Practice address
27 S COOKS BRIDGE RD STE M1, JACKSON, NJ 08527-2443
(732) 994-7387
Mailing address
27 S COOKS BRIDGE RD STE M1, JACKSON, NJ 08527-2443
(732) 994-7387
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI03652900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28RI03652900
NJ STATE LICENSE
NJ
Enumeration date
11/17/2020
Last updated
11/17/2020
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