Individual
MALVI DEVANATHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2405 HAMBURG TPKE, WAYNE, NJ 07470-6287
(973) 831-4080
Mailing address
210 MAIN STREET, #508, HACKENSACK, NJ 07601
(216) 338-1169
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI04198300
NJ
Other
Enumeration date
02/23/2022
Last updated
02/23/2022
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