Individual
CARISSA TIROTTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2100 N 2ND ST, MILLVILLE, NJ 08332-1304
(856) 327-7341
Mailing address
2100 N 2ND ST, MILLVILLE, NJ 08332-1304
(856) 327-7341
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI03982500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1881776250
NPI
NJ
Enumeration date
01/15/2021
Last updated
01/15/2021
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