Individual
HAN M KY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2617 SHORE RD, NORTHFIELD, NJ 08225-2136
(609) 647-2115
(609) 624-2603
Mailing address
2617 SHORE RD, NORTHFIELD, NJ 08225-2136
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI02771000
NJ
Other
Enumeration date
02/08/2010
Last updated
02/08/2010
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