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Individual

DR. LOUIS PETER REGO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
161 WATER ST, PERTH AMBOY, NJ 08861-4702
(732) 442-5619
Mailing address
161 WATER ST, PERTH AMBOY, NJ 08861-4702
(732) 442-5619

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28R10744700
NJ
1835P1200X
Pharmacotherapy Pharmacist
28R10744700
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
20-050658
RPH LICENSE
NY
01
28RI01744700
NJ LIC
NJ
01
43868
RPH LICENSE
TX
01
RP439839
RPH LICENSE
PA
Enumeration date
01/03/2006
Last updated
07/26/2023
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