Mary Phan
NPI #1205618543 in Kearny, New Jersey
Provider Information
- NPI Number
- 1205618543
- Entity Type
- Individual
- Name
- Mary Phan
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Pharmacist
- Enumeration Date
- Oct 20, 2023
- Last Updated
- Oct 20, 2023
Practice Location
- Address
- 465 KEARNY AVE
- City
- Kearny
- State
- New Jersey
- ZIP Code
- 07032-2702
- Phone
- (201) 428-2376
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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