Provider Demographics
NPI:1679898423
Name:PRESS, MARIAN DEBORAH (RPH)
Entity type:Individual
Prefix:MRS
First Name:MARIAN
Middle Name:DEBORAH
Last Name:PRESS
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22 GREEN HILL RD
Mailing Address - Street 2:
Mailing Address - City:KINNELON
Mailing Address - State:NJ
Mailing Address - Zip Code:07405-2111
Mailing Address - Country:US
Mailing Address - Phone:973-492-1474
Mailing Address - Fax:
Practice Address - Street 1:38 E MAIN ST
Practice Address - Street 2:
Practice Address - City:SUSSEX
Practice Address - State:NJ
Practice Address - Zip Code:07461-2113
Practice Address - Country:US
Practice Address - Phone:973-875-4141
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-05
Last Update Date:2010-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI01614800183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist