Samantha Desimone

NPI #1023611746 in Audubon, New Jersey

Provider Information

NPI Number: 1023611746
Entity Type: Individual
Name: Samantha Desimone
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Nov 17, 2020
Last Updated: Nov 17, 2020

Practice Location

Address: 130 BLACK HORSE PIKE
City: Audubon
State: New Jersey
ZIP Code: 08106-1960
Phone: (856) 310-1519

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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