Individual
DR. HEATHER MONK BODENSTAB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Taxonomy
Speciality
Code
Description
License number
State
1835P0200X
Pediatric Pharmacist
Primary
28RI04239800
NJ
1835P0200X
Pediatric Pharmacist
RP440984
PA
Other
Enumeration date
05/17/2023
Last updated
05/17/2023
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