NPI 1154021186

Maxine Luciano

Practitioner Pharmacy Technician Bergenfield, NJ

Practice location

Address: 10 Portland Ave, Bergenfield, NJ 07621-2305
Phone: (201) 384-2789

Registered specialties

Pharmacy Technician Primary

Pharmacy Service Providers Taxonomy 183700000X Licence 28RW02246100 (NJ)

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Registry record

NPI: 1154021186
Entity type: Individual
Sex (as registered): Female
NPI issued: 8 Mar 2023
Record last updated: 8 Mar 2023

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.