Provider Demographics
NPI:1326648783
Name:CAIRO, JOELLE ANTOINETTE (RPH)
Entity Type:Individual
Prefix:
First Name:JOELLE
Middle Name:ANTOINETTE
Last Name:CAIRO
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2106 MOUNT HOLLY RD
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08016-4192
Mailing Address - Country:US
Mailing Address - Phone:609-239-2679
Mailing Address - Fax:609-239-2147
Practice Address - Street 1:2106 MOUNT HOLLY RD
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08016-4158
Practice Address - Country:US
Practice Address - Phone:609-239-2679
Practice Address - Fax:609-239-2147
Is Sole Proprietor?:No
Enumeration Date:2020-10-27
Last Update Date:2020-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI03283000183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist