Organization Name: | COLONIA CARE PHARMACY |
NPI Number: | 1619160702 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SVETISLAV MILIC (OWNER) |
Mailing Address: | 515 Inman Ave Ste A Colonia |
State: | NJ US |
Postal Code: | 070671114 |
Phone Number: | 7323813400 |
Fax Number: | 7323817665 |
NPI Enumeration Date: | 08/22/2007 |
NPI Last Update Date: | 08/22/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3336C0004X |
License Number: | 28RS00670500 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Pharmacy |
Taxonomy Specialization: | Compounding Pharmacy |
Taxonomy Definition: | A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner |