Individual
AMANDA LI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
451 BLOOMFIELD AVE, NEWARK, NJ 07107-1866
(973) 482-1063
Mailing address
451 BLOOMFIELD AVE, NEWARK, NJ 07107-1866
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI04086500
NJ
Other
Enumeration date
11/30/2020
Last updated
11/30/2020
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