Provider Demographics
NPI:1144495631
Name:SALANDRIA, LISA ANNE (PHARM D)
Entity type:Individual
Prefix:DR
First Name:LISA
Middle Name:ANNE
Last Name:SALANDRIA
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:531 HIGH STREET
Mailing Address - Street 2:
Mailing Address - City:MT HOLLY
Mailing Address - State:NJ
Mailing Address - Zip Code:08060
Mailing Address - Country:US
Mailing Address - Phone:609-702-1780
Mailing Address - Fax:
Practice Address - Street 1:531 HIGH STREET
Practice Address - Street 2:
Practice Address - City:MT HOLLY
Practice Address - State:NJ
Practice Address - Zip Code:08060
Practice Address - Country:US
Practice Address - Phone:609-702-1780
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-04-25
Last Update Date:2023-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX42699183500000X
NJ28RIO2957400183500000X
PARP452278183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist