Organization
VIZZONI'S PHARMACY L.L.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOMINICK J VIZZONI PHARM D (OWNER)
(609) 394-5784
Entity
Organization
Contact information
Practice address
1616 S BROAD ST, TRENTON, NJ 08610-6036
(609) 394-5784
(609) 394-5131
Mailing address
1616 S BROAD ST, TRENTON, NJ 08610-6036
(609) 394-5784
(609) 394-5131
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
28RS00330200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4287703
—
NJ
Enumeration date
07/22/2006
Last updated
08/22/2020
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