Provider Demographics
NPI:1598136541
Name:LISA AND RICHARD KRESS LLC
Entity Type:Organization
Organization Name:LISA AND RICHARD KRESS LLC
Other - Org Name:KRESS SPECIALTY APOTHECARY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:JARED
Authorized Official - Last Name:KRESS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:856-323-8723
Mailing Address - Street 1:208 WHITE HORSE PIKE
Mailing Address - Street 2:SUITE #9
Mailing Address - City:BARRINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08007-1322
Mailing Address - Country:US
Mailing Address - Phone:856-323-8723
Mailing Address - Fax:856-323-8577
Practice Address - Street 1:208 WHITE HORSE PIKE
Practice Address - Street 2:SUITE #9
Practice Address - City:BARRINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08007-1322
Practice Address - Country:US
Practice Address - Phone:856-323-8723
Practice Address - Fax:856-323-8577
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-16
Last Update Date:2015-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RS007424003336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy