Healthcare Provider Details

I. General information

NPI: 1528512142
Provider Name (Legal Business Name): SCHRAFTS 2
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/11/2016
Last Update Date: 10/24/2024
Certification Date: 10/24/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3 WING DR STE 102
CEDAR KNOLLS NJ
07927-1017
US

IV. Provider business mailing address

3 WING DR STE 102
CEDAR KNOLLS NJ
07927-1017
US

V. Phone/Fax

Practice location:
  • Phone: 855-724-7238
  • Fax: 844-876-4545
Mailing address:
  • Phone: 855-724-7238
  • Fax: 844-876-4545

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number28RS00753000
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: ADAM HAIT
Title or Position: PHARMACIST IN CHARGE
Credential: RPH
Phone: 855-724-7238