Individual
JULIA GRACE MACNEILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5000 PARK BLVD, WILDWOOD, NJ 08260-1428
(609) 522-1291
Mailing address
1462 WALLACE ST, VINELAND, NJ 08360-4345
(609) 247-0925
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI03361200
NJ
Other
Enumeration date
09/01/2011
Last updated
09/01/2011
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