Individual
EDWARD PATRICK REILLY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1000 N PEARL ST, BRIDGETON, NJ 08302-1215
(856) 453-5993
Mailing address
1000 N PEARL ST, BRIDGETON, NJ 08302-1215
(856) 453-5993
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18457
NJ
Other
Enumeration date
12/08/2020
Last updated
12/08/2020
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