Individual
MR. LATCHMAN RAGHUNANDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
B.S.
Contact information
Practice address
125 AVON AVE, NEWARK, NJ 07108-2531
(973) 824-5010
(973) 824-5920
Mailing address
125 AVON AVE, NEWARK, NJ 07108-2531
(973) 824-5010
(973) 824-5920
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RI20923
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7946007
—
NJ
Enumeration date
12/17/2006
Last updated
07/09/2007
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