Individual
MRS. JEANINE LOUISE CAROLLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1422 WEST PROSPECT STREET, EAST BRUNSWICK, NJ 08816
(732) 238-4646
Mailing address
95 PRALL AVE, STATEN ISLAND, NY 10312-4224
(718) 984-6137
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI02578000
NJ
Other
Enumeration date
02/23/2010
Last updated
02/23/2010
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