Individual
MARIA HEANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
703 MAIN ST, PATERSON, NJ 07503-2621
(570) 332-4220
Mailing address
5 GRACE DR, PLAINS, PA 18705-3502
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
28RI04025700
NJ
183500000X
Pharmacist
Primary
RP451771
PA
Other
Enumeration date
06/12/2020
Last updated
06/12/2020
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