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Randy Wang

Pharmacist in Freehold, NJ. Individual provider (NPI-1).

NPI number1053914366
StatusActive
Last updated in NPPESNov 18, 2020

Details

NPI
1053914366
Entity type
Individual (NPI-1)
Name
Randy Wang
Sex
Male
Sole proprietor
No
Enumeration date
Nov 18, 2020
Certification date
Nov 18, 2020
Last updated
Nov 18, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X Pharmacist28RI03302500NJYes

Practice location

610 W Main St
Freehold, NJ 07728-2527

Phone 732-431-6999

Mailing address

610 W Main St
Freehold, NJ 07728-2527

Phone 732-431-6999

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