Individual
ANTHONY RISO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
19 CONOR RD, JACKSON, NJ 08527-3781
(917) 882-5456
Mailing address
19 CONOR RD, JACKSON, NJ 08527-3781
(917) 882-5456
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
I037231
NY
183500000X
Pharmacist
RI02008700
NJ
Other
Enumeration date
12/31/2015
Last updated
12/31/2015
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