Individual
GRACE OLUWATOYIN OLOTU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
561 IRVINGTON AVE, NEWARK, NJ 07106-3103
(973) 373-0387
Mailing address
212 REGIS DR, STATEN ISLAND, NY 10314-1424
(718) 477-6111
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI04137300
NJ
Other
Enumeration date
12/08/2020
Last updated
12/08/2020
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