Individual
ELLEN ELIZABETH HENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
200 N ROUTE 73, WEST BERLIN, NJ 08091-2504
(856) 768-6688
(856) 768-9779
Mailing address
200 N ROUTE 73, WEST BERLIN, NJ 08091-2504
(856) 768-6688
(856) 768-9779
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI01801900
NJ
Other
Enumeration date
12/08/2020
Last updated
12/08/2020
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