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Individual

MARIA OLMOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
22 MARKET ST, PATERSON, NJ 07501-1721
(973) 523-2070
(973) 523-2590
Mailing address
263 JACKSONVILLE DR, PARSIPPANY, NJ 07054-5018
(973) 463-9101

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI03193700
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
9123601
NJ
Enumeration date
11/30/2011
Last updated
11/30/2011
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