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Individual

CHANDANI SHAYA DEVI RAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RPH

Contact information

Practice address
314 ROUTE15 SOUTH, WHARTON, NJ 07885
(973) 361-9315
Mailing address
314 ROUTE15 SOUTH, WHARTON, NJ 07885

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
059095
NY
183500000X
Pharmacist
Primary
28RI03459000
NJ

Other

Enumeration date
11/10/2014
Last updated
11/10/2014
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