Provider Demographics
NPI:1700145257
Name:ACORD, CAITLIN (PHARMD)
Entity Type:Individual
Prefix:
First Name:CAITLIN
Middle Name:
Last Name:ACORD
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:CAITLIN
Other - Middle Name:
Other - Last Name:MURRY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:611 HAVANA AVE
Mailing Address - Street 2:
Mailing Address - City:EGG HARBOR CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:08215-2743
Mailing Address - Country:US
Mailing Address - Phone:609-442-2271
Mailing Address - Fax:
Practice Address - Street 1:611 HAVANA AVE
Practice Address - Street 2:
Practice Address - City:EGG HARBOR CITY
Practice Address - State:NJ
Practice Address - Zip Code:08215-2743
Practice Address - Country:US
Practice Address - Phone:609-442-2271
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-05-03
Last Update Date:2018-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI03303500183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist