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Individual

MARCUS LAWSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1303 N BROAD ST, HILLSIDE, NJ 07205-2404
(908) 372-0466
Mailing address
1102 MORRIS ST, ROSELLE, NJ 07203-2718
(732) 910-1326

Taxonomy

Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
28RI03658300
NJ

Other

Enumeration date
09/09/2014
Last updated
09/09/2014
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