Individual
CLIFFORD R BEACH III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
2007 HIGHWAY 35, WALL TOWNSHIP, NJ 07719-3543
(732) 282-1634
Mailing address
2007 HIGHWAY 35, WALL TOWNSHIP, NJ 07719-3543
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI001595900
NJ
Other
Enumeration date
03/07/2018
Last updated
03/07/2018
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