Individual
MR. JOHN T. NYCZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH.
Contact information
Practice address
405 US ROUTE 17, HACKENSACK, NJ 07601
(201) 487-0145
(201) 525-1252
Mailing address
193 HADDENFIELD RD, CLIFTON, NJ 07013-3942
(973) 614-0807
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RI17305
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RI17305
STATE RPH LIC #
NJ
Enumeration date
02/13/2008
Last updated
02/13/2008
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