Individual
JOSEPH SPROVACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
3247 ROUTE 9 N, FREEHOLD, NJ 07728-3493
(732) 414-3605
Mailing address
3247 ROUTE 9 N, FREEHOLD, NJ 07728-3493
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI027806
NJ
183500000X
Pharmacist
PH24591
MA
Other
Enumeration date
08/31/2011
Last updated
08/31/2011
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