Individual
DAVID ANDREW STICKLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
699 BROADWAY, BAYONNE, NJ 07002
(832) 289-4458
Mailing address
25 E GOUVERNEUR AVE #2, RUTHERFORD, NJ 07070
(832) 289-4458
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI04205900
NJ
Other
Enumeration date
10/03/2021
Last updated
10/03/2021
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