Healthcare Provider Details

I. General information

NPI: 1942242235
Provider Name (Legal Business Name): VIZZONI PHARMACY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/12/2006
Last Update Date: 09/19/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 S MAIN ST
ALLENTOWN NJ
08501-1610
US

IV. Provider business mailing address

2 S MAIN ST PO BOX 146
ALLENTOWN NJ
08501-1610
US

V. Phone/Fax

Practice location:
  • Phone: 609-259-6121
  • Fax: 609-259-6407
Mailing address:
  • Phone: 609-259-6121
  • Fax: 609-258-9640

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number28RS00639300
License Number StateNJ

VIII. Authorized Official

Name: JOHN VIZZONI
Title or Position: RPIC
Credential: PHRMD
Phone: 609-259-6121