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Individual

NICOLE LEONIDA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
355 GRAND STREET, PHARMACY DEPARTMENT, FLOOR 2, JERSEY CITY, NJ 07302
(201) 915-2484
Mailing address
112 LEXINGTON AVE FL 1, JERSEY CITY, NJ 07304-1610
(201) 920-2506

Taxonomy

Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
28RI03873200
NJ

Other

Enumeration date
04/06/2021
Last updated
04/06/2021
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