Individual
MRS. LISA ANNE GIANNANTONIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
125 FRANKLIN TPKE, MAHWAH, NJ 07430-1341
(201) 512-9332
(201) 512-0149
Mailing address
149 MOMAR DR, RAMSEY, NJ 07446-2323
(201) 236-1821
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI02424500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28RI02424500
28RI02424500
NJ
Enumeration date
02/19/2008
Last updated
02/19/2008
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