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1184946089
WILLIAM MARTIN THEISZ
LODI, NJ
NPI
1184946089
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: NJ 28R101400000)
Enumeration Date
2010-02-18
Last Update Date
2010-02-18
Business Address
Mr. WILLIAM MARTIN THEISZ R.P.
105 TERHUNE AVE
LODI, NJ 07644-2805
Phone number: 973-473-2243
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Mailing Address
Mr. WILLIAM MARTIN THEISZ R.P.
191 LAFAYETTE AVE
WESTWOOD, NJ 07675-3319
Phone number: 201-666-8047
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