Individual
DORIS H PENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
180 BROADWAY, ELMWOOD PARK, NJ 07407-3052
(201) 791-2550
(201) 475-2675
Mailing address
180 BROADWAY, ELMWOOD PARK, NJ 07407-3052
(201) 791-2550
(201) 475-2675
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI01957700
NJ
Other
Enumeration date
10/02/2013
Last updated
10/02/2013
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