Individual
JENNIFER MORALES MCKENNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
180 PASSAIC AVE, FAIRFIELD, NJ 07004-3516
(800) 447-4791
Mailing address
1993 MOUNTAIN AVE, SCOTCH PLAINS, NJ 07076-1226
(201) 978-4543
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI02610500
NJ
Other
Enumeration date
08/11/2011
Last updated
08/11/2011
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