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Mark Allen Forgang, R.P

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

NPI number1619084506
StatusActive
Last updated in NPPESJul 9, 2007

Details

NPI
1619084506
Entity type
Individual (NPI-1)
Name
Mark Allen Forgang
Credential
R.P
Sex
Male
Sole proprietor
Yes
Enumeration date
Aug 24, 2006
Last updated
Jul 9, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X Pharmacist28RS00371900NJYes

Practice location

3317 Sunset Ave
Ocean, NJ 07712-4554

Phone 732-775-3600

Mailing address

3317 Sunset Ave
Ocean, NJ 07712-4554

Phone 732-775-3600

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