Individual
MISS EILEEN KWON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
521 PIERMONT AVE APT 230A, RIVERVALE, NJ 07675-5731
(201) 666-9696
Mailing address
521 PIERMONT AVE APT 230A, RIVERVALE, NJ 07675-5731
(201) 666-9696
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
028717
NY
Other
Enumeration date
01/10/2007
Last updated
07/08/2007
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