Kenn Treidel, RP
Pharmacist in Seaside Park, NJ. Individual provider (NPI-1).
NPI number1497972129
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1497972129
- Entity type
- Individual (NPI-1)
- Name
- Mr. Kenn Treidel
- Credential
- RP
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 20, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 28RIO1116500 | NJ | Yes |
Practice location
117 E StSeaside Park, NJ 08752-1512
Phone 732-854-7275
Mailing address
117 E StSeaside Park, NJ 08752-1512
Phone 732-854-7275
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