Provider Demographics
NPI:1811215973
Name:LAMBROSCHINO, RICHARD AMERICO (RPH)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:AMERICO
Last Name:LAMBROSCHINO
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:239 COEYMAN AVE
Mailing Address - Street 2:
Mailing Address - City:NUTLEY
Mailing Address - State:NJ
Mailing Address - Zip Code:07110-1425
Mailing Address - Country:US
Mailing Address - Phone:973-661-1107
Mailing Address - Fax:
Practice Address - Street 1:78 MAIN AVE
Practice Address - Street 2:
Practice Address - City:PASSAIC
Practice Address - State:NJ
Practice Address - Zip Code:07055-4466
Practice Address - Country:US
Practice Address - Phone:973-778-0510
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-12
Last Update Date:2010-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI01448600183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist