Individual
DIANA KOVACEVIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D
Contact information
Practice address
2093 ROUTE 130 N, BURLINGTON, NJ 08016-9748
(609) 499-5781
(609) 499-5786
Mailing address
2093 ROUTE 130 N, BURLINGTON, NJ 08016-9748
(609) 499-5781
(609) 499-5786
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
03328965
OH
183500000X
Pharmacist
Primary
28RI03157700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0094242
—
NJ
Enumeration date
03/06/2012
Last updated
03/06/2012
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