Individual
LIKHITHA KONATHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
30 PROSPECT AVE, HACKENSACK, NJ 07601-1915
(551) 996-2000
Mailing address
30 PROSPECT AVE, HACKENSACK, NJ 07601-1915
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI03724600
NJ
Other
Enumeration date
03/01/2016
Last updated
12/27/2021
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