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Individual

MARIE DOMINIQUE IMPORTANTE SIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARMD, RPH

Contact information

Practice address
1105 US HIGHWAY 46, LEDGEWOOD, NJ 07852-9748
(973) 927-4662
Mailing address
1105 US HIGHWAY 46, LEDGEWOOD, NJ 07852-9748
(973) 927-4662
(973) 927-4668

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI04018400
NJ
183500000X
Pharmacist
PH237986
MA

Other

Enumeration date
11/18/2020
Last updated
12/18/2020
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