Dufresne, Mary

Dufresne, Mary is an sole proprietor health care provider with primary practice located at 3002 Mt Ephraim Ave , Camden NJ 08103. She recently has only one registered license in Pharmacy Service Providers / Ambulatory Care, which is considered as her primary health care specialty. Dufresne, Mary can be contacted via phone (856) 854-9159.

Contact Information

Primary practice address
3002 Mt Ephraim Ave Camden NJ 08103
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Ambulatory Care 1835P2201X 28RI2732800 New Jersey

Profile Details

NPI number 1912503889
LBN Legal business name Dufresne, Mary
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 7th, 2020
Last updated Dec 7th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912503889 NPPES
New Jersey Other 28RI2732800 PHARMACIST LICENSE

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