Individual
MARK DIFILIPPANTONIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH, CIP
Contact information
Practice address
1070 N PEARL ST, BRIDGETON, NJ 08302-1215
(856) 455-7020
(856) 455-7150
Mailing address
393 CENTERTON RD, BRIDGETON, NJ 08302-5971
(856) 455-7020
(856) 455-7150
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI02554400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28RI02554400
NJ STATE PHARMACIST LICENSE
NJ
Enumeration date
05/02/2010
Last updated
05/02/2010
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