Individual
MRS. AUDREY BACCI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
3120 ROUTE 35, HAZLET, NJ 07730-1520
(732) 739-3320
Mailing address
2 CROSSWICKS RD, FREEHOLD, NJ 07728-3009
(732) 577-6533
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28R102863100
NJ
Other
Enumeration date
09/16/2010
Last updated
09/16/2010
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