Individual
LAN THI TO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
23 COURT ST # 2693, NEWARK, NJ 07102-2693
(862) 774-0442
Mailing address
1 JOHN F KENNEDY BLVD APT 32L, SOMERSET, NJ 08873-6929
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI04462400
NJ
Other
Enumeration date
10/16/2025
Last updated
10/16/2025
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