Individual
LIONEL DECRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
3891 ROUTE 516, OLD BRIDGE, NJ 08857-2499
(732) 607-7510
(732) 607-7516
Mailing address
13 THROOP AVE, MONROE TOWNSHIP, NJ 08831-8520
(732) 723-1376
(732) 607-7516
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI01623100
NJ
Other
Enumeration date
06/09/2009
Last updated
06/09/2009
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