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Individual

MRS. IRENE ELIZABETH GOMEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RPH

Contact information

Practice address
7823 BERGENLINE AVE, NORTH BERGEN, NJ 07047-4942
(201) 869-1235
(201) 221-9794
Mailing address
7823 BERGENLINE AVE, NORTH BERGEN, NJ 07047-4942
(201) 869-1235
(201) 221-9794

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI02239400
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
28RI02239400
PHARMACIST LICENSE NUMBER
NJ
Enumeration date
10/24/2006
Last updated
07/08/2007
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