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Individual

MR. FERNANDO IGNACIO ESTREMS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
R.PH.

Contact information

Practice address
232 60TH ST, PAN AMERICAN PHARMACY, WEST NEW YORK, NJ 07093-2824
(201) 861-7966
(201) 868-7945
Mailing address
232 60TH ST, PAN AMERICAN PHARMACY, WEST NEW YORK, NJ 07093-2824
(201) 861-7966
(201) 868-7945

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI02224500
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
28RI02224500
STATE LICENSE
NJ
Enumeration date
03/31/2010
Last updated
03/31/2010
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