Provider Demographics
NPI:1790190395
Name:VALLIER, DOREEN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:DOREEN
Middle Name:
Last Name:VALLIER
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:75 WASHINGTON VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:BEDMINSTER
Mailing Address - State:NJ
Mailing Address - Zip Code:07921-2119
Mailing Address - Country:US
Mailing Address - Phone:908-658-4900
Mailing Address - Fax:908-658-4132
Practice Address - Street 1:75 WASHINGTON VALLEY RD
Practice Address - Street 2:
Practice Address - City:BEDMINSTER
Practice Address - State:NJ
Practice Address - Zip Code:07921-2119
Practice Address - Country:US
Practice Address - Phone:908-658-4900
Practice Address - Fax:908-658-4132
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-23
Last Update Date:2014-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI02561300183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist