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Individual

AMANDA BETH MACIAG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
105 TERHUNE AVE, LODI, NJ 07644-2805
(973) 473-2243
(973) 473-8387
Mailing address
70 WOODWARD AVE, RUTHERFORD, NJ 07070-2212

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI03869700
NJ

Other

Enumeration date
08/22/2017
Last updated
08/22/2017
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