RUSSELL ROSEN

LAKEWOOD, NJ
NPI1356699565
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: NJ  17278)
Additional Taxonomies183500000X Pharmacist
(Licence: NY  35572)
Enumeration Date2012-08-17
Last Update Date2012-08-17
Business Address
-- RUSSELL ROSEN R.PH.
1771 MADISON AVE
LAKEWOOD, NJ 08701-1251
Phone number: 732-534-8559
Mailing Address
-- RUSSELL ROSEN R.PH.
11 DARLINGTON DR
MANALAPAN, NJ 07726-4224
Phone number: 917-577-2643
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