Healthcare Provider Details

I. General information

NPI: 1982986709
Provider Name (Legal Business Name): JANET COLLEEN ROOP RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/16/2011
Last Update Date: 09/16/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

504 KINGS HWY N
CHERRY HILL NJ
08034-1502
US

IV. Provider business mailing address

4 BRIDLE PATH
SOUTHAMPTON NJ
08088-2815
US

V. Phone/Fax

Practice location:
  • Phone: 856-685-2110
  • Fax:
Mailing address:
  • Phone: 609-330-6004
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number28RI01477200
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: