Individual
CATHERINE MARY CRISFULLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
130 WHITE HORSE PIKE N, LAWNSIDE, NJ 08045-1128
(856) 546-5111
Mailing address
11 SURREY PL, SWEDESBORO, NJ 08085-1400
(856) 241-1663
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
28RI02299700
NJ
183500000X
Pharmacist
A1-0002854
DE
183500000X
Pharmacist
Primary
RP038114L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28RI02299700
NJ STATE LICENSE NUMBER
—
01
—
A1-0002854
DELAWARE STATE LICENSE NUMBER
—
01
—
RP038114L
PENNSYLVANIA STATE LICENSE NUMBER
—
Enumeration date
05/23/2008
Last updated
05/23/2008
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