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Individual

ALEXA CHAVEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
616 NEWMAN SPRINGS RD, LINCROFT, NJ 07738-1722
(732) 936-0558
Mailing address
81 MAEBELLE DR, CLARK, NJ 07066-2216
(908) 967-2383

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI04113900
NJ

Other

Enumeration date
09/03/2020
Last updated
09/03/2020
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