Individual
JILLIAN VENKATEWARAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
184 S LIVINGSTON AVE, LIVINGSTON, NJ 07039-3014
(973) 992-4720
(973) 992-2851
Mailing address
184 S LIVINGSTON AVE, LIVINGSTON, NJ 07039-3014
(973) 992-4720
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI02942600
NJ
Other
Enumeration date
11/23/2020
Last updated
11/23/2020
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