Provider Demographics
NPI:1043592827
Name:MULLIGAN, CASSANDRA JEAN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:CASSANDRA
Middle Name:JEAN
Last Name:MULLIGAN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:333 SILVER LAGOON DR
Mailing Address - Street 2:
Mailing Address - City:TOMS RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08753-2423
Mailing Address - Country:US
Mailing Address - Phone:732-255-4015
Mailing Address - Fax:
Practice Address - Street 1:1158 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:TOMS RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08753-6800
Practice Address - Country:US
Practice Address - Phone:732-288-7950
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-16
Last Update Date:2011-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI02962300183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist