Healthcare Provider Details

I. General information

NPI: 1134042815
Provider Name (Legal Business Name): DAVID GERARD MARINI
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/31/2026
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

310 SALEM WOODSTOWN RD
SALEM NJ
08079-2064
US

IV. Provider business mailing address

1 CAROLINE CT
PILESGROVE NJ
08098-2741
US

V. Phone/Fax

Practice location:
  • Phone: 856-339-6034
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number28RI01795700
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: