Individual
MR. BLAKE TRAN NUGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD., R.PH.
Contact information
Practice address
611 PARK AVE, PLAINFIELD, NJ 07060-1612
(908) 756-0008
(908) 668-8630
Mailing address
408 WALL ST, EATONTOWN, NJ 07724-2422
(973) 362-8280
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI04105200
NJ
Other
Enumeration date
09/30/2020
Last updated
09/30/2020
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