Healthcare Provider Details

I. General information

NPI: 1184143687
Provider Name (Legal Business Name): CHLONE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/15/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

458 AMBOY AVE
WOODBRIDGE NJ
07095-2948
US

IV. Provider business mailing address

458 AMBOY AVE
WOODBRIDGE NJ
07095-2948
US

V. Phone/Fax

Practice location:
  • Phone: 732-636-0011
  • Fax:
Mailing address:
  • Phone: 732-636-0011
  • 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: MR. HARRY JOSWICK
Title or Position: OWNER/PHARMACIST
Credential:
Phone: 732-636-0011