Healthcare Provider Details

I. General information

NPI: 1144218983
Provider Name (Legal Business Name): KNOWLES PHARMACY INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/06/2005
Last Update Date: 08/22/2020
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

PO BOX 1005
MILLVILLE NJ
08332-8005
US

V. Phone/Fax

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

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number28RS00188400
License Number StateNJ

VIII. Authorized Official

Name: MR. ALLAN S LIPITZ
Title or Position: PHARMACIST/OWNER
Credential: R.PH.
Phone: 856-825-0721