Individual
KARISSE LORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
587 MILLBURN AVE, SHORT HILLS, NJ 07078-3332
(973) 376-0137
Mailing address
383 WAYNE TER, UNION, NJ 07083-9122
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI04344800
NJ
Other
Enumeration date
11/08/2023
Last updated
11/08/2023
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