Organization
HAZLET PHARMACY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JASON A KORNBLUM RPH (PHARMACIST-IN-CHARGE / MANAGER)
(732) 264-3310
Entity
Organization
Contact information
Practice address
2874 HIGHWAY 35 SOUTH, HAZLET, NJ 07730-1504
(732) 264-3310
(732) 264-0401
Mailing address
2874 HIGHWAY 35 SOUTH, HAZLET, NJ 07730-1504
(732) 264-3310
(732) 264-0401
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
28RS00139700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0025348
—
NJ
01
—
3109697
NCPDP
NJ
05
—
4290101
—
NJ
Enumeration date
06/18/2006
Last updated
06/04/2024
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