Individual
JERRY URAKATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
421 LACEY RD, WHITING, NJ 08759-1328
(732) 716-1096
Mailing address
421 LACEY RD, WHITING, NJ 08759-1328
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI04111600
NJ
Other
Enumeration date
12/05/2020
Last updated
12/05/2020
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