Provider Demographics
NPI:1679741649
Name:AQUILINO, TRICIA (RPH)
Entity Type:Individual
Prefix:MRS
First Name:TRICIA
Middle Name:
Last Name:AQUILINO
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 1:3500 ROUTE 9
Mailing Address - Street 2:
Mailing Address - City:OLD BRIDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:08857-2767
Mailing Address - Country:US
Mailing Address - Phone:732-679-7527
Mailing Address - Fax:732-679-2571
Practice Address - Street 1:3500 ROUTE 9
Practice Address - Street 2:
Practice Address - City:OLD BRIDGE
Practice Address - State:NJ
Practice Address - Zip Code:08857-2767
Practice Address - Country:US
Practice Address - Phone:732-679-7527
Practice Address - Fax:732-679-2571
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-13
Last Update Date:2008-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI02223900183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist