Healthcare Provider Details

I. General information

NPI: 1619284130
Provider Name (Legal Business Name): VINCENT H ZITO RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/03/2010
Last Update Date: 09/03/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12 NORTH ST
BAYONNE NJ
07002-1241
US

IV. Provider business mailing address

12-16 NORTH STREET
BAYONNE NJ
07002
US

V. Phone/Fax

Practice location:
  • Phone: 201-436-6268
  • Fax:
Mailing address:
  • Phone: 201-436-6268
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number28R101257800
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: