Individual
AMANDA GYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
601 PASSAIC AVE, WEST CALDWELL, NJ 07006-6707
(973) 575-1299
Mailing address
601 PASSAIC AVE, WEST CALDWELL, NJ 07006-6707
(973) 575-1299
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI04281200
NJ
Other
Enumeration date
11/04/2022
Last updated
11/04/2022
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