Individual
JISUP HAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
455 LIVINGSTON ST STE 4, NORWOOD, NJ 07648-1360
(201) 272-6224
(201) 272-6225
Mailing address
1400 ANDERSON AVE, FORT LEE, NJ 07024-4469
(201) 224-8877
(201) 224-8871
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI03614100
NJ
Other
Enumeration date
05/05/2021
Last updated
02/24/2023
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