Provider Demographics
NPI:1952629909
Name:VANIAPILLIL, LISBET (RPH)
Entity Type:Individual
Prefix:MRS
First Name:LISBET
Middle Name:
Last Name:VANIAPILLIL
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 1:325 KINDERKAMACK RD
Mailing Address - Street 2:
Mailing Address - City:ORADELL
Mailing Address - State:NJ
Mailing Address - Zip Code:07649-2125
Mailing Address - Country:US
Mailing Address - Phone:201-265-3343
Mailing Address - Fax:201-262-4030
Practice Address - Street 1:325 KINDERKAMACK RD
Practice Address - Street 2:
Practice Address - City:ORADELL
Practice Address - State:NJ
Practice Address - Zip Code:07649-2125
Practice Address - Country:US
Practice Address - Phone:201-265-3343
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-05-13
Last Update Date:2023-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI03046900183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist