Individual
CHENZIRA RAPHAEL I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 S MAIN ST, FORKED RIVER, NJ 08731-3624
(609) 242-0066
Mailing address
101 S MAIN ST, FORKED RIVER, NJ 08731-3624
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI03904700
NJ
183500000X
Pharmacist
RP451225
PA
Other
Enumeration date
12/06/2016
Last updated
03/17/2018
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