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NPI Code Detail

MEDICARE: KAYLA LYNNE PETERPAUL

MEDICARE: KAYLA LYNNE PETERPAUL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist28RI04391500NJ

General Provider Information

NPI Number : 1659231421
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAYLA LYNNE PETERPAUL
Provider Business Mailing Address
First Line : 413 CHERRY ST
Second Line :
City : ROSELLE PARK
State : NJ
Zip : 07204-2003
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 69 NEW RD
Second Line :
City : PARSIPPANY
State : NJ
Zip : 07054-4206
Country : US
Telephone Number : 973-870-0540
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/14/2025
Last Update Date : 11/14/2025

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Directions to “ KAYLA LYNNE PETERPAUL ” Practice Location

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