Healthcare Provider Details

I. General information

NPI: 1801884648
Provider Name (Legal Business Name): ALLAN S LIPITZ R.PH.
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 10/06/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 N HIGH ST
MILLVILLE NJ
08332-3025
US

IV. Provider business mailing address

2000 MILLER AVE #6
MILLVILLE NJ
08332-1569
US

V. Phone/Fax

Practice location:
  • Phone: 856-825-0721
  • Fax: 856-327-8190
Mailing address:
  • Phone: 856-327-5244
  • Fax: 856-327-8190

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number28RI01271700
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: