Individual
JUDITH WILLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2545 HOOPER AVE, BRICK, NJ 08723-6238
(732) 920-1604
(733) 920-1609
Mailing address
2545 HOOPER AVE, BRICK, NJ 08723-6238
(732) 920-1604
(732) 920-1609
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI02849200
NJ
Other
Enumeration date
12/01/2020
Last updated
12/01/2020
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