Jeremy Laiken

NPI #1104124262 in Clinton, New Jersey

Provider Information

NPI Number: 1104124262
Entity Type: Individual
Name: Jeremy Laiken
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Mar 14, 2011
Last Updated: Mar 14, 2011

Practice Location

Address: 37 OLD HIGHWAY 22
City: Clinton
State: New Jersey
ZIP Code: 08809-1342
Phone: (410) 218-1419

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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