Provider Demographics
NPI:1376130351
Name:DAMSGAARD, CASANDRA (PHARMD)
Entity Type:Individual
Prefix:
First Name:CASANDRA
Middle Name:
Last Name:DAMSGAARD
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:E15 ARCADIA CT APT E15
Mailing Address - Street 2:
Mailing Address - City:EASTAMPTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08060-3347
Mailing Address - Country:US
Mailing Address - Phone:609-456-5586
Mailing Address - Fax:
Practice Address - Street 1:23202 COLUMBUS RD STE E
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:NJ
Practice Address - Zip Code:08022-1982
Practice Address - Country:US
Practice Address - Phone:609-298-7474
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-24
Last Update Date:2020-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI04050700183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist