Individual
AMANDA SOUROUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1303 SAINT GEORGES AVE, COLONIA, NJ 07067-3925
(732) 827-2904
Mailing address
1303 SAINT GEORGES AVE, COLONIA, NJ 07067-3925
(732) 827-2904
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI03833400
NJ
Other
Enumeration date
08/26/2020
Last updated
08/26/2020
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