Healthcare Provider Details

I. General information

NPI: 1699053322
Provider Name (Legal Business Name): SAM N VELTRI
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: SAM N VELTRI R.PH.

II. Dates (important events)

Enumeration Date: 07/29/2011
Last Update Date: 07/29/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

70 JACKSON DRIVE PARTNERS PHARMACY
CRANFORD NJ
07016
US

IV. Provider business mailing address

1811 QUIMBY LN
SCOTCH PLAINS NJ
07076-4715
US

V. Phone/Fax

Practice location:
  • Phone: 908-931-9111
  • Fax:
Mailing address:
  • Phone: 908-232-9193
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number28RI01446500
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: