Individual
MR. DAVID CHIU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
1417 KENNEDY BLVD, NORTH BERGEN, NJ 07047-6307
(201) 864-5617
(201) 864-5623
Mailing address
1417 KENNEDY BLVD, NORTH BERGEN, NJ 07047-6307
(201) 864-5617
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
0499881
NY
183500000X
Pharmacist
Primary
28RI02860000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0499881
NY STATE LICENSE
NY
01
—
28RI02860000
NJ STATE LICENSE
NJ
Enumeration date
02/11/2008
Last updated
06/09/2008
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