Individual
DERRELL SLOANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1155 RT. 22W, WATCHUNG, NJ 07069
(908) 756-8193
(908) 941-1701
Mailing address
908 WATCHUNG AVE APT 1, PLAINFIELD, NJ 07060-2580
(908) 546-8036
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
28RW00433900
NJ
Other
Enumeration date
02/02/2015
Last updated
02/02/2015
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