Provider Demographics
NPI:1124216452
Name:CARUANA, CLAIRE B (RPH, CCP)
Entity Type:Individual
Prefix:MS
First Name:CLAIRE
Middle Name:B
Last Name:CARUANA
Suffix:
Gender:F
Credentials:RPH, CCP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 MOUNTAIN VIEW AVE
Mailing Address - Street 2:
Mailing Address - City:LONG VALLEY
Mailing Address - State:NJ
Mailing Address - Zip Code:07853-3124
Mailing Address - Country:US
Mailing Address - Phone:908-797-8187
Mailing Address - Fax:
Practice Address - Street 1:21 MOUNTAIN VIEW AVE
Practice Address - Street 2:
Practice Address - City:LONG VALLEY
Practice Address - State:NJ
Practice Address - Zip Code:07853-3124
Practice Address - Country:US
Practice Address - Phone:908-797-8187
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-11
Last Update Date:2017-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI01613300183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist