Provider Demographics
NPI:1649428822
Name:MOLANO, SHARON (RPH)
Entity type:Individual
Prefix:
First Name:SHARON
Middle Name:
Last Name:MOLANO
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 CRICKET LN
Mailing Address - Street 2:
Mailing Address - City:WOODCLIFF LAKE
Mailing Address - State:NJ
Mailing Address - Zip Code:07677-8066
Mailing Address - Country:US
Mailing Address - Phone:201-476-9215
Mailing Address - Fax:
Practice Address - Street 1:3 CRICKET LN
Practice Address - Street 2:
Practice Address - City:WOODCLIFF LAKE
Practice Address - State:NJ
Practice Address - Zip Code:07677-8066
Practice Address - Country:US
Practice Address - Phone:201-476-9215
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-31
Last Update Date:2008-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0432701183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist