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Individual

JOHN MICHAEL OBRIEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
1965 RTE 57, SHOP RITE PHARMACY, HACKETTSTOWN, NJ 07840-3475
(908) 852-2309
(908) 852-0860
Mailing address
1965 RTE 57, SHOP RITE PHARMACY, HACKETTSTOWN, NJ 07840-3475
(908) 852-2309
(908) 852-0860

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI01946200
NJ
183500000X
Pharmacist
PS46349
FL
183500000X
Pharmacist
RP444535
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
28RI01946200
NEW JERSEY BOARD OF PHARMACY
NJ
Enumeration date
02/29/2012
Last updated
02/29/2012
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