Individual
JUSTINE SARA PANICKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD, RPH
Contact information
Practice address
480 N BEVERWYCK RD, LAKE HIAWATHA, NJ 07034-2511
(973) 334-4343
Mailing address
5 BRIARWOOD CT, WHIPPANY, NJ 07981-1040
(973) 590-4422
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI04121400
NJ
Other
Enumeration date
03/23/2021
Last updated
03/23/2021
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