Individual
BIANCA PANTALONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1098 MANTUA PIKE, WENONAH, NJ 08090-1124
(856) 464-1077
Mailing address
1098 MANTUA PIKE, WENONAH, NJ 08090-1124
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI04141100
NJ
Other
Enumeration date
05/31/2021
Last updated
05/31/2021
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