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Individual

MS. LISA BUCCO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RPH

Contact information

Practice address
72 CRESCENT AVE, WALDWICK, NJ 07463-1345
(201) 444-2754
(201) 497-5691
Mailing address
72 CRESCENT AVE, WALDWICK, NJ 07463-1345
(201) 444-2754
(201) 497-5691

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI02885900
NJ

Other

Enumeration date
10/14/2011
Last updated
10/14/2011
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