Healthcare Provider Details

I. General information

NPI: 1871412403
Provider Name (Legal Business Name): CENTURION SPECIALTY PHARMACY INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/15/2026
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4100 PARK AVE
WEEHAWKEN NJ
07086-6132
US

IV. Provider business mailing address

4100 PARK AVE
WEEHAWKEN NJ
07086-6132
US

V. Phone/Fax

Practice location:
  • Phone: 201-453-3114
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: ROBERT PINKHASOV
Title or Position: PRESIDENT
Credential:
Phone: 201-453-3114