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General NPI Number Information
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NPI Number | 1700170354
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Entity Type | Individual
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Provider Name | KERRI LEIGH DEFOND PHARMD
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Gender | Female
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Dates
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Enumeration Date | 05/31/2011
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Last Update Date | 03/24/2021
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Provider Practice Location Address
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Address Line | 1086 WILLETT AVE
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City | RIVERSIDE
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State | RI
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Zip | 02915-2067
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Country | US
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Telephone | 401-433-5710
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Fax | 401-433-5713
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Provider Business Mailing Address
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Address Line | 1 APPLE ORCHARD RD
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City | MOORESTOWN
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State | NJ
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Zip | 08057-3843
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Country | US
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Telephone | 609-923-7314
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Fax | 856-222-1891
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RPH04766
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License Number State | RI
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