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Individual

SHERLY THOMAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4 BRUNSWICK AVE, EDISON, NJ 08817-2500
(732) 777-1717
(732) 777-1449
Mailing address
4405 HANA RD, EDISON, NJ 08817-2028
(201) 736-1640

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
25RI03364300
NJ

Other

Enumeration date
06/23/2017
Last updated
06/23/2017
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