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Iza Arithea Nabong Pacunayen, Rph

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

NPI number1609613256
StatusActive
Last updated in NPPESJul 16, 2024

Details

NPI
1609613256
Entity type
Individual (NPI-1)
Name
Iza Arithea Nabong Pacunayen
Credential
Rph
Sex
Female
Sole proprietor
Yes
Enumeration date
Jul 11, 2024
Certification date
Jul 16, 2024
Last updated
Jul 16, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X Pharmacist28RI04380700NJYes

Practice location

100 W Somerset St
Raritan, NJ 08869-1738

Phone 808-500-3142

Mailing address

100 W Somerset St
Raritan, NJ 08869-1738

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