MEDICARE: PALOMA RODRIGUEZ SANTIAGO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	28RI04498000	NJ

General Provider Information

NPI Number	:	1194651042
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PALOMA RODRIGUEZ SANTIAGO

Provider Business Mailing Address
First Line	:	650 W CUTHBERT BLVD
Second Line	:
City	:	HADDON TOWNSHIP
State	:	NJ
Zip	:	08108-3642
Country	:	US
Telephone Number	:	856-833-1710
Fax Number	:

Provider Business Practice Location Address
First Line	:	650 W CUTHBERT BLVD
Second Line	:
City	:	HADDON TOWNSHIP
State	:	NJ
Zip	:	08108-3642
Country	:	US
Telephone Number	:	856-833-1710
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/19/2026
Last Update Date	:	06/19/2026

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Directions to “ PALOMA RODRIGUEZ SANTIAGO ” Practice Location

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