Healthcare Provider Details

I. General information

NPI: 1477461663
Provider Name (Legal Business Name): ELIZABETH SKOBELEV PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25 HAGERTY LN
CRANBURY NJ
08512-2735
US

IV. Provider business mailing address

25 HAGERTY LN
CRANBURY NJ
08512-2735
US

V. Phone/Fax

Practice location:
  • Phone: 732-666-3959
  • Fax:
Mailing address:
  • Phone: 732-666-3959
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number28RI04510300
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: