Individual
MARYSOL DIEGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH, PHARMD
Contact information
Practice address
6012 KENNEDY BLVD W, WEST NEW YORK, NJ 07093-1447
(201) 869-9004
Mailing address
704 HERO WAY, BELLEVILLE, NJ 07109-5338
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI02782300
NJ
Other
Enumeration date
09/23/2011
Last updated
09/23/2011
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