NPI 1164704946

William Lebak

Practitioner Pharmacist Delran, NJ

Practice location

Address: 7001 Route 130, Delran, NJ 08075-1868
Phone: (856) 461-2152
Fax: (856) 764-1318
Mailing address: 433 Dorchester Dr, Delran, NJ 08075-1369

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 28RI03187500 (NJ)

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Registry record

NPI: 1164704946
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Sep 2011
Record last updated: 16 Sep 2011

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.