Active NPIIndividual providerSole proprietor

Ms. Illiana A Herishko

Pharmacist in Haddonfield, New Jersey

NPI Number1295055564
Practice location
423 W Crystal Lake Ave, Haddonfield, NJ 08033-2802
Fax
—
Last updated
June 9, 2010

Illiana Ann Herishko is a Pharmacist based in Haddonfield, NJ. Illiana Ann Herishko practices in Haddonfield, NJ. The NPI Number for Illiana Ann Herishko is 1295055564 and holds a License No. 28RI01671200 (NJ). The current practice location address for Illiana Ann Herishko is 423 W Crystal Lake Ave, Haddonfield, NJ 08033-2802 and can be reached out via phone at 856-858-4012.

Provider Profile Details

NPI Number
1295055564
Provider Name
Illiana Ann Herishko
Provider Entity Type
Individual
Gender
Female
Address
423 W Crystal Lake Ave, Haddonfield, NJ 08033-2802
Phone Number
856-858-4012
Primary Taxonomy
Pharmacist · 183500000X
Sole Proprietor
Yes
Provider Enumeration Date
June 9, 2010
Last Update Date
June 9, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
423 W Crystal Lake Ave
Haddonfield, NJ 08033-2802
Zip
08033-2802
Phone Number
856-858-4012
Haddonfield, NJ 08033Get directions →

Provider Business Mailing Address Details

Address
423 W Crystal Lake Ave
Haddonfield, NJ 08033-2802
City
Haddonfield
State
NJ
Zip
08033-2802
Phone Number
856-858-4012

License Information

License Number
28RI01671200
License State
NJ
Taxonomy
Pharmacist · 183500000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ms. Illiana A Herishko?

The NPI number of Ms. Illiana A Herishko is 1295055564. It was assigned on June 9, 2010 and is currently active in the NPPES registry.

What is the specialty of Ms. Illiana A Herishko?

Ms. Illiana A Herishko is registered under the primary taxonomy Pharmacist (code 183500000X), licensed in NJ under license number 28RI01671200.

Where does Ms. Illiana A Herishko practice?

The practice location is 423 W Crystal Lake Ave, Haddonfield, NJ 08033-2802. The office can be reached at 856-858-4012 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1295055564 directly on the NPPES registry website.

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