Individual
MS. NIDIA CASTELLANOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
21 W LINCOLN AVE, ATLANTIC HIGHLANDS, NJ 07716-1121
(732) 291-5900
Mailing address
188 THROCKMORTON LN, OLD BRIDGE, NJ 08857-2177
(908) 578-4488
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
RI02356500
NJ
3336L0003X
Long Term Care Pharmacy
Primary
RI02356500
NJ
Other
Enumeration date
01/14/2021
Last updated
01/14/2021
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