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1356907604
MUSHMOOM NIAZ
NEWARK, NJ
NPI
1356907604
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: NJ 28RI04011400)
Enumeration Date
2019-05-13
Last Update Date
2019-05-13
Business Address
MUSHMOOM NIAZ
654 MOUNT PROSPECT AVE
NEWARK, NJ 07104-3110
Phone number: 862-240-9603
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Mailing Address
MUSHMOOM NIAZ
654 MT PROSPECT
NEWARK, NJ 07104
Phone number:
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