Healthcare Provider Details

I. General information

NPI: 1730504002
Provider Name (Legal Business Name): BIOLOGICTX LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/24/2014
Last Update Date: 04/06/2024
Certification Date: 04/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

40D COMMERCE WAY
TOTOWA NJ
07512-3109
US

IV. Provider business mailing address

40D COMMERCE WAY
TOTOWA NJ
07512-3109
US

V. Phone/Fax

Practice location:
  • Phone: 973-774-0954
  • Fax: 877-567-8089
Mailing address:
  • Phone: 973-774-0954
  • Fax: 877-567-8089

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number28RS00717700
License Number StateNJ

VIII. Authorized Official

Name: KATHEE M KRAMM
Title or Position: CEO, PRESIDENT, LLC MANAGER
Credential:
Phone: 549-385-7322