MS. Illiana Ann Herishko

NPI #1295055564 in Haddonfield, New Jersey

Provider Information

NPI Number: 1295055564
Entity Type: Individual
Name: MS. Illiana Ann Herishko
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Jun 9, 2010
Last Updated: Jun 9, 2010

Practice Location

Address: 423 W CRYSTAL LAKE AVE
City: Haddonfield
State: New Jersey
ZIP Code: 08033-2802
Phone: (856) 858-4012

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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