Provider Demographics
NPI:1700170354
Name:DEFOND, KERRI LEIGH (PHARMD)
Entity Type:Individual
Prefix:
First Name:KERRI
Middle Name:LEIGH
Last Name:DEFOND
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:KERRI
Other - Middle Name:LEIGH
Other - Last Name:MACWHORTER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHARMD
Mailing Address - Street 1:1 APPLE ORCHARD RD
Mailing Address - Street 2:
Mailing Address - City:MOORESTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:08057-3843
Mailing Address - Country:US
Mailing Address - Phone:609-923-7314
Mailing Address - Fax:856-222-1891
Practice Address - Street 1:1086 WILLETT AVE
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:RI
Practice Address - Zip Code:02915-2067
Practice Address - Country:US
Practice Address - Phone:401-433-5710
Practice Address - Fax:401-433-5713
Is Sole Proprietor?:No
Enumeration Date:2011-05-31
Last Update Date:2021-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIRPH04766183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist