Individual
ANTON ORLOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
581 KEARNY AVE, KEARNY, NJ 07032-2737
(201) 991-3454
Mailing address
30 FOREST LN, STATEN ISLAND, NY 10307-2312
(347) 439-9622
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI04174500
NJ
Other
Enumeration date
01/18/2022
Last updated
01/18/2022
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