Individual
LAWRENCE DEKOEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1104 RINGWOOD AVE, HASKELL, NJ 07420-1515
(973) 831-3111
Mailing address
PO BOX 131, FRANKLIN LAKES, NJ 07417-0131
(201) 788-3101
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI01523000
NJ
Other
Enumeration date
08/11/2023
Last updated
08/11/2023
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