Individual
MRS. FANNY A. MUSTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
1409 WICKAPECKO DR, OCEAN, NJ 07712-4201
(732) 776-6070
Mailing address
30 MILLBROOK DR, MIDDLETOWN, NJ 07748-2226
(732) 706-3775
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI02283300
NJ
Other
Enumeration date
02/25/2007
Last updated
07/08/2007
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