Theresa A Widmann, R.PH.

NPI #1508080052 in Medford, New Jersey

Provider Information

NPI Number: 1508080052
Entity Type: Individual
Name: Theresa A Widmann, R.PH.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: R.PH.
Enumeration Date: Apr 13, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 1 MEDFORD LEAS
Address 2: PHARMACY
City: Medford
State: New Jersey
ZIP Code: 08055-2254
Phone: (609) 654-3269

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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