Chancellor Pharmacy

NPI 1174805774 - Pharmacy - 3336C0003X

NPI Details
NPI 1174805774
Enumeration Date 09/09/2011
Last Updated 03/29/2016
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name RINABEN RINABEN
Position PRESIDENT/PHARMACY SUPERVISOR
Phone (973) 399-2700
Fax (973) 399-2701
Practice Location
894 CHANCELLOR AVE
IRVINGTON NJ, 07111-1214, US
Phone (973) 399-2700
Fax (973) 399-2701
Business Location
894 CHANCELLOR AVE
IRVINGTON NJ, 07111-1214, US
Phone (973) 399-2700
Fax (973) 399-2701
Toxanomy
Taxonomy Code 3336C0003X
License State New Jersey
License Number 28RS00714200
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According to our database, Chancellor Pharmacy NPI is 1174805774, taxonomy code is 3336C0003X and license number is 28RS00714200, license state is located at New Jersey. Chancellor Pharmacy physically located at 894 Chancellor Ave, Irvington NJ, 07111-1214. NPI Number 1033115704 has the healthcare provider type.

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1174805774 NPI number is provided on an as is basis without warranty of any kind. 1174805774 is maintained by the National Plan & Provider Enumeration System. The contents of Chancellor Pharmacy are for informational purposes only.