Healthcare Provider Details

I. General information

NPI: 1104978097
Provider Name (Legal Business Name): ALBRO DRUG COMPANY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/18/2007
Last Update Date: 06/17/2024
Certification Date: 09/08/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

195 MAIN STREET
CHATHAM NJ
07928-2428
US

IV. Provider business mailing address

195 MAIN ST
CHATHAM NJ
07928-2405
US

V. Phone/Fax

Practice location:
  • Phone: 973-635-6200
  • Fax: 973-635-6208
Mailing address:
  • Phone: 973-635-6200
  • Fax: 973-635-6208

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number28RS00390900
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number28RS00390900
License Number StateNJ

VIII. Authorized Official

Name: MR. AMIT SIKKA
Title or Position: OWNER
Credential: RPH
Phone: 973-635-6200