Individual
MS. AILEEN REBECCA DATRI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1 ROBERT WOOD JOHNSON PL, NEW BRUNSWICK, NJ 08901-1928
(732) 828-3000
Mailing address
18 CROWN DR, WARREN, NJ 07059-5132
(908) 581-1863
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI01978500
NJ
Other
Enumeration date
10/11/2021
Last updated
10/11/2021
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