Healthcare Provider Details

I. General information

NPI: 1164594107
Provider Name (Legal Business Name): WALLINGTON DRUGS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/14/2006
Last Update Date: 02/08/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

130 LOCUST AVE
WALLINGTON NJ
07057-1439
US

IV. Provider business mailing address

130 LOCUST AVE
WALLINGTON NJ
07057-1439
US

V. Phone/Fax

Practice location:
  • Phone: 973-777-2100
  • Fax: 973-777-2645
Mailing address:
  • Phone: 973-777-2100
  • Fax: 973-777-2645

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number
License Number State

VIII. Authorized Official

Name: MR. EUGENE TARASZKA
Title or Position: PRESIDENT
Credential: RP
Phone: 973-777-2100