Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mary Phan

Individual provider Pharmacist · NPI 1205618543

Mary Phan is a Pharmacist in Kearny, New Jersey. Licensed in New Jersey. Registered with an NPI since 2023.

Licensed in
NJ
In the registry since
2023

Practice location Address checks out

465 Kearny Ave
Kearny, NJ 07032-2702
Phone: (201) 428-2376
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 28RI04339000 (NJ)

Record details

NPI number1205618543
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 20, 2023
Last updated in NPPESOctober 20, 2023
Certification dateOctober 20, 2023
Mailing address129 Smallwood Ave, Belleville, NJ 07109-1330

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