Individual
JACQUELINE K THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
151 BOULEVARD, HASBROUCK HEIGHTS, NJ 07604-1716
(201) 288-5500
Mailing address
22 HAZEL CT, SPRING VALLEY, NY 10977-4519
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI03491300
NJ
Other
Enumeration date
09/11/2012
Last updated
09/11/2012
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