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Alan Broderson, reg pharmacist

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

NPI number1992846182
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1992846182
Entity type
Individual (NPI-1)
Name
Mr. Alan Broderson
Credential
reg pharmacist
Sex
Male
Sole proprietor
No
Enumeration date
Feb 9, 2007
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X Pharmacist025168NYYes

Practice location

136 Summit St
Englewood, NJ 07631-4728

Phone 201-921-4276 · Fax 201-568-2469

Mailing address

136 Summit St
Englewood, NJ 07631-4728

Phone 201-921-4276 · Fax 201-568-2469

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