Individual
DR. DEIRDRE MINIHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD, BCPS, BCIDP
Contact information
Practice address
6 WALNUT ST, MONTVALE, NJ 07645-1421
(201) 615-7566
Mailing address
6 WALNUT ST, MONTVALE, NJ 07645-1421
(201) 615-7566
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
050941
NY
183500000X
Pharmacist
Primary
28RI02880800
NJ
183500000X
Pharmacist
S017936
AZ
Other
Enumeration date
05/29/2023
Last updated
05/29/2023
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