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Angela K Song

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

NPI number1649865783
StatusActive
Last updated in NPPESMar 1, 2021

Details

NPI
1649865783
Entity type
Individual (NPI-1)
Name
Angela K Song
Sex
Female
Sole proprietor
No
Enumeration date
Mar 1, 2021
Certification date
Mar 1, 2021
Last updated
Mar 1, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X Pharmacist28RI04145300NJYes

Practice location

45 Franklin Tpke
Mahwah, NJ 07430-1344

Phone 201-529-5930

Mailing address

113 Route 59
Suffern, NY 10901-4905

Phone 845-608-1528

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