Individual
DHARA MAYANK SHUKLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1819 MARLTON PIKE W, CHERRY HILL, NJ 08002-3206
(856) 662-3685
Mailing address
436 INNES RD, WOOD RIDGE, NJ 07075-1254
(201) 982-8043
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI03594000
NJ
Other
Enumeration date
09/24/2013
Last updated
09/24/2013
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