Individual
MAI ALY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
21 N MAIN ST, MILLTOWN, NJ 08850-1587
(732) 828-0080
Mailing address
12 COOLIDGE AVE, PARLIN, NJ 08859-1511
(732) 347-5036
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI04053700
NJ
Other
Enumeration date
01/16/2024
Last updated
01/16/2024
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