Individual
KATHLEEN ELIZABETH WILLS-CUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
865 W GRAND ST, ELIZABETH, NJ 07202-1001
(908) 558-0049
(908) 558-8991
Mailing address
491 VALLEY ST APT 3, ORANGE, NJ 07050-1255
(973) 801-5029
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI02354500
NJ
Other
Enumeration date
12/08/2020
Last updated
12/08/2020
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