MEDICARE: MR. ALAN RICHARD ZEITLIN

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	R13696	NJ

General Provider Information

NPI Number	:	1538337134
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ALAN RICHARD ZEITLIN

Provider Business Mailing Address
First Line	:	3020 HIGHWAY 35
Second Line	:	PATHMARK PHARMACY
City	:	HAZLET
State	:	NJ
Zip	:	07730-1505
Country	:	US
Telephone Number	:	732-739-2302
Fax Number	:	732-264-0730

Provider Business Practice Location Address
First Line	:	3020 HIGHWAY 35
Second Line	:	PATHMARK PHARMACY
City	:	HAZLET
State	:	NJ
Zip	:	07730-1505
Country	:	US
Telephone Number	:	732-739-2302
Fax Number	:	732-264-0730

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

Provider Enumeration Date	:	02/15/2008
Last Update Date	:	02/15/2008

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