Healthcare Provider Details
I. General information
NPI: 1104787696
Provider Name (Legal Business Name): CAREZA PHARMACY INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/24/2025
Last Update Date: 11/24/2025
Certification Date: 11/23/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
405 RARITAN AVE
HIGHLAND PARK NJ
08904-2739
US
IV. Provider business mailing address
405 RARITAN AVE
HIGHLAND PARK NJ
08904-2739
US
V. Phone/Fax
- Phone: 732-253-0221
- Fax: 732-255-0223
- Phone: 732-253-0221
- Fax: 732-255-0223
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 333600000X |
| Taxonomy | Pharmacy |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MRS.
DIPALI
PATEL
Title or Position: PHARMACY MANAGER
Credential: PHARMD
Phone: 732-253-0221