Individual
MARLON INGAYWA KIDIIGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
4315 MARLTON PIKE, PENNSAUKEN, NJ 08109-4400
(856) 910-8041
Mailing address
4315 MARLTON PIKE, PENNSAUKEN, NJ 08109-4400
(856) 910-8041
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI03435200
NJ
183500000X
Pharmacist
28RJ03409
NJ
Other
Enumeration date
08/26/2011
Last updated
03/09/2023
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