Individual
MR. MARK STAVAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1311 ROUTE 37 W, TOMS RIVER, NJ 08755-5049
(732) 349-0517
Mailing address
85 OLD BRIDGE DR, HOWELL, NJ 07731-2333
(732) 961-6355
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI01703200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28RI1703200
REGISTERED PHARMACIST
NJ
Enumeration date
09/19/2011
Last updated
09/19/2011
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