Organization
CARLBERT DRUGS INC
Active
Other names
BUCKLEYS DRUG STORE
Organization subpart
No
Provider details
NPI number
Authorized official
GILBERT DOMINGUEZ RPH (PIC)
(201) 569-1365
Entity
Organization
Contact information
Practice address
35 E PALISADE AVE, ENGLEWOOD, NJ 07631-2901
(201) 569-1345
(201) 568-5354
Mailing address
35 E PALISADE AVE, ENGLEWOOD, NJ 07631-2901
(201) 569-1345
(201) 568-5354
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
28RS00419300
NJ
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3108809
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
4399901
—
NJ
Enumeration date
09/30/2006
Last updated
08/03/2011
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