Individual
MAHNAZ KELLIHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1303 SAINT GEORGES AVE, COLONIA, NJ 07067-3925
(732) 827-2904
Mailing address
7 PHILLIP DR, EDISON, NJ 08820-1123
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI02001000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28RI02001000
NJ BOARD OF PHARMACY
NJ
Enumeration date
09/27/2011
Last updated
09/27/2011
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