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Individual

ANN M. MEWHERTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
R.PH.

Contact information

Practice address
130 WHITE HORSE PIKE N, LAWNSIDE, NJ 08045-1128
(856) 546-5111
(856) 672-9346
Mailing address
10 DEWBERRY DR, HAMILTON, NJ 08610-1312
(609) 585-7062

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
28 RI 02164700
NJ
183500000X
Pharmacist
Primary
RP 027689 L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
28RI02164700
NJ RPH STATE LICENSE NUM
NJ
01
RP 027689L
PA RPH STATE LICENSE NUM
PA
Enumeration date
02/28/2008
Last updated
02/28/2008
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