Individual
GLEN OSIEMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
187 MILLBURN AVE, MILLBURN, NJ 07041-1847
(987) 654-5654
Mailing address
187 MILLBURN AVE, MILLBURN, NJ 07041-1847
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI04450800
NJ
Other
Enumeration date
08/21/2025
Last updated
08/21/2025
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