Individual
THOMAS PETER CARUSO JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CPHT-ADV
Contact information
Practice address
30 PROSPECT AVE, HACKENSACK, NJ 07601-1997
(551) 996-2000
Mailing address
20 PROSPECT AVE, HACKENSACK, NJ 07601-1997
(551) 996-2000
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
28RW03649200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28RJ09897
IMMUNIZATION REGISTRATION
NJ
01
—
30122469
PTCB - ADVANCED CERTIFIED PHARMACY TECHNICIAN (CPHT-ADV)
—
01
—
30146731
PTCB - BILLING AND REIMBURSEMENT CERTIFICATE
—
01
—
30165265
PTCB - IMMUNIZATION ADMINISTRATION CERTIFICATE
—
01
—
30182717
PTCB - CONTROLLED SUBSTANCES DIVERSION PREVENTION CERTIFICATE
—
Enumeration date
09/18/2020
Last updated
06/25/2023
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