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Individual

LYNDA UR-STEVENS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4578 ROUTE 9 S, HOWELL, NJ 07731-3771
(732) 364-3700
Mailing address
1144 LONGBOAT AVE, BEACHWOOD, NJ 08722-4404

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI01583800
NJ
183500000X
Pharmacist
PS19595
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
28RI01583800
RPH STATE LICENSE
NJ
01
PS19595
RPH STATE LICENSE
FL
Enumeration date
02/15/2008
Last updated
02/15/2008
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