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1083815146
RAFAEL A HERNANDEZ
NEWARK, NJ
NPI
1083815146
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: NJ 28ri01721000)
Enumeration Date
2007-05-29
Last Update Date
2007-07-08
Business Address
-- RAFAEL A HERNANDEZ rph
794 MT. PROSPECT AVE.
NEWARK, NJ 07104
Phone number: 973-483-4749
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Mailing Address
-- RAFAEL A HERNANDEZ rph
435 MADISON AVE
ROSELLE PARK, NJ 07204-2440
Phone number: 908-241-7664
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