Provider Demographics
NPI:1124305610
Name:ESPOSITO, RICHARD (RPH)
Entity type:Individual
Prefix:
First Name:RICHARD
Middle Name:
Last Name:ESPOSITO
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22 W RIVER RD
Mailing Address - Street 2:
Mailing Address - City:RUMSON
Mailing Address - State:NJ
Mailing Address - Zip Code:07760-1419
Mailing Address - Country:US
Mailing Address - Phone:732-842-1234
Mailing Address - Fax:732-842-1628
Practice Address - Street 1:22 W RIVER RD
Practice Address - Street 2:
Practice Address - City:RUMSON
Practice Address - State:NJ
Practice Address - Zip Code:07760-1419
Practice Address - Country:US
Practice Address - Phone:732-842-1234
Practice Address - Fax:732-842-1628
Is Sole Proprietor?:No
Enumeration Date:2011-11-10
Last Update Date:2011-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI02745200183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist