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Individual

MS. ILLIANA ANN HERISHKO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
423 W CRYSTAL LAKE AVE, HADDONFIELD, NJ 08033-2802
(856) 858-4012
Mailing address
423 W CRYSTAL LAKE AVE, HADDONFIELD, NJ 08033-2802
(856) 858-4012

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI01671200
NJ

Other

Enumeration date
06/09/2010
Last updated
06/09/2010
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