Healthcare Provider Details

I. General information

NPI: 1588776587
Provider Name (Legal Business Name): NEIL-KAVITA PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 02/14/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

233 E MCFARLAN ST
DOVER NJ
07801-3603
US

IV. Provider business mailing address

233 E MCFARLAN ST
DOVER NJ
07801-3603
US

V. Phone/Fax

Practice location:
  • Phone: 973-366-0404
  • Fax: 973-366-5852
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number28RS00580000
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: VIPUL BHAVSAR
Title or Position: PHARMACY MANAGER
Credential: RPH
Phone: 973-366-0404