Provider Demographics
NPI:1154539252
Name:SHAPIRO, CAROL E (RPH)
Entity type:Individual
Prefix:MS
First Name:CAROL
Middle Name:E
Last Name:SHAPIRO
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 1:1203 N HIGH ST
Mailing Address - Street 2:UNIT B
Mailing Address - City:MILLVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08332-2530
Mailing Address - Country:US
Mailing Address - Phone:856-293-7466
Mailing Address - Fax:856-293-9285
Practice Address - Street 1:1203 N HIGH ST
Practice Address - Street 2:UNIT B
Practice Address - City:MILLVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08332-2530
Practice Address - Country:US
Practice Address - Phone:856-293-7466
Practice Address - Fax:856-293-9285
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-20
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJRI15980183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist