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Maxine Luciano

Pharmacy Technician in Bergenfield, NJ. Individual provider (NPI-1).

NPI number1154021186
StatusActive
Last updated in NPPESMar 8, 2023

Details

NPI
1154021186
Entity type
Individual (NPI-1)
Name
Maxine Luciano
Sex
Female
Sole proprietor
No
Enumeration date
Mar 8, 2023
Certification date
Mar 8, 2023
Last updated
Mar 8, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183700000X Pharmacy Technician28rw02246100NJYes

Practice location

10 Portland Ave
Bergenfield, NJ 07621-2305

Phone 201-384-2789

Mailing address

10 Portland Ave
Bergenfield, NJ 07621-2305

Phone 201-384-2789

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