Provider Demographics
NPI:1093829012
Name:LUIZZI, SHERIN NONE (RPH)
Entity Type:Individual
Prefix:MRS
First Name:SHERIN
Middle Name:NONE
Last Name:LUIZZI
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:MRS
Other - First Name:SHERIN
Other - Middle Name:NONE
Other - Last Name:LUIZZI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHARMACIST
Mailing Address - Street 1:711 PINE DR
Mailing Address - Street 2:
Mailing Address - City:BRICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08723-4215
Mailing Address - Country:US
Mailing Address - Phone:732-920-5751
Mailing Address - Fax:
Practice Address - Street 1:970 ROUTE 70
Practice Address - Street 2:
Practice Address - City:BRICK
Practice Address - State:NJ
Practice Address - Zip Code:08724-3502
Practice Address - Country:US
Practice Address - Phone:732-206-8900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI02388000183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist