Individual
MRS. EILEEN MARIE IACARUSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
24 S BLACK HORSE PIKE, MOUNT EPHRAIM, NJ 08059-1321
(856) 931-6262
(856) 931-1056
Mailing address
5 SHETLAND PATH, SEWELL, NJ 08080-3113
(856) 404-1323
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RJ04115
NJ
Other
Enumeration date
12/29/2020
Last updated
12/29/2020
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