Individual
MICAELA LEE GENCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1015 N MAIN RD, VINELAND, NJ 08360-2538
(856) 691-1465
(856) 696-3215
Mailing address
513 GLENDALE AVE, HADDON TOWNSHIP, NJ 08108-2233
(609) 458-2026
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI03910000
NJ
Other
Enumeration date
08/12/2020
Last updated
08/12/2020
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