Individual
AJ MA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD, RPH
Contact information
Practice address
7001 ROUTE 130, DELRAN, NJ 08075-1868
(856) 461-2152
(856) 764-1318
Mailing address
5214 DREXEL AVE, PENNSAUKEN, NJ 08109-1008
(609) 742-3777
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI04349900
NJ
Other
Enumeration date
12/21/2023
Last updated
12/21/2023
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