Provider Demographics
NPI:1285934026
Name:CRISTIANO, ADRIENNE (RPH)
Entity type:Individual
Prefix:MS
First Name:ADRIENNE
Middle Name:
Last Name:CRISTIANO
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 1:1632 N KINGS HWY
Mailing Address - Street 2:
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08034-2302
Mailing Address - Country:US
Mailing Address - Phone:856-470-1213
Mailing Address - Fax:856-470-1205
Practice Address - Street 1:1632 N KINGS HWY
Practice Address - Street 2:
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08034-2302
Practice Address - Country:US
Practice Address - Phone:856-470-1213
Practice Address - Fax:856-470-1205
Is Sole Proprietor?:No
Enumeration Date:2010-10-27
Last Update Date:2010-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI02407300183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist