Healthcare Provider Details
I. General information
NPI: 1821969643
Provider Name (Legal Business Name): SYBEX LABS
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/15/2025
Last Update Date: 09/15/2025
Certification Date: 09/15/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
218 PROBASCO RD
EAST WINDSOR NJ
08520-5516
US
IV. Provider business mailing address
218 PROBASCO RD
EAST WINDSOR NJ
08520-5516
US
V. Phone/Fax
- Phone: 831-318-9196
- Fax:
- Phone: 831-318-9196
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3336C0003X |
| Taxonomy | Community/Retail Pharmacy |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
YASIR
RIZVI
Title or Position: CEO
Credential:
Phone: 831-318-9196