NPI 1114195799

Dean J Vanover

Practitioner Pharmacist Wall Township, NJ

Practice location

Address: 2007 Highway 35, Wall Township, NJ 07719-3543
Phone: (732) 974-9290
Fax: (732) 974-5590
Mailing address: 308 Enterprise Dr, Forked River, NJ 08731-1815

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 28RI01572500 (NJ)

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Registry record

NPI: 1114195799
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 Feb 2008
Record last updated: 15 Feb 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.