Individual
MRS. MARIA IRENE COKONIS POULATHAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
223 HIGH ST, MOORESTOWN, NJ 08057-3505
(856) 222-0697
Mailing address
223 HIGH ST, MOORESTOWN, NJ 08057-3505
(856) 222-0697
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6814
NJ
183500000X
Pharmacist
RP043690L
PA
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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