Provider Demographics
NPI:1316547045
Name:KRUSE, MARIE-CECILE BRIGITTE (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:MARIE-CECILE
Middle Name:BRIGITTE
Last Name:KRUSE
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1740 ROUTE 38
Mailing Address - Street 2:
Mailing Address - City:LUMBERTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08048-2257
Mailing Address - Country:US
Mailing Address - Phone:609-702-7999
Mailing Address - Fax:609-702-0876
Practice Address - Street 1:1740 ROUTE 38
Practice Address - Street 2:
Practice Address - City:LUMBERTON
Practice Address - State:NJ
Practice Address - Zip Code:08048-2257
Practice Address - Country:US
Practice Address - Phone:609-702-7999
Practice Address - Fax:609-702-0876
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-30
Last Update Date:2020-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI03429800183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist