Individual
LUCY ISAAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 SOUTH AVE, GARWOOD, NJ 07027-1312
Mailing address
300 SOUTH AVE, GARWOOD, NJ 07027-1312
(718) 210-6232
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI03853000
NJ
Other
Enumeration date
09/18/2020
Last updated
09/18/2020
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