Healthcare Provider Details

I. General information

NPI: 1588793749
Provider Name (Legal Business Name): CARTER DRUGS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/05/2007
Last Update Date: 07/30/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CLIFFWOOD AVE
MATAWAN NJ
07747
US

IV. Provider business mailing address

CLIFFWOOD AVE
MATAWAN NJ
07747
US

V. Phone/Fax

Practice location:
  • Phone: 732-566-8300
  • Fax: 732-566-9520
Mailing address:
  • Phone: 732-566-8300
  • Fax: 732-566-9520

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number28RS00072800
License Number State

VIII. Authorized Official

Name: MR. MICHAEL ZAREVA
Title or Position: PHARMACIST
Credential: PHARMACIST
Phone: 732-566-8300