Individual
DANIELLE PAVON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
221 MAIN ST, LODI, NJ 07644-1733
(973) 773-0005
Mailing address
221 MAIN ST, LODI, NJ 07644-1733
(973) 773-0005
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI04137100
NJ
Other
Enumeration date
08/29/2022
Last updated
08/29/2022
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