Individual
MARIAN M Y TANIOUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
250 GLENWOOD AVE, BLOOMFIELD, NJ 07003-2352
(973) 429-0758
Mailing address
71 W 55TH ST, BAYONNE, NJ 07002-3308
(201) 682-1153
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI04155400
NJ
Other
Enumeration date
09/21/2022
Last updated
09/21/2022
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