Organization
KALIBAT DRUG STORE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRANK KALIBAT (OWNER)
(973) 589-6387
Entity
Organization
Contact information
Practice address
199 FERRY ST, NEWARK, NJ 07105-2711
(973) 589-6387
(973) 589-6387
Mailing address
199 FERRY ST, NEWARK, NJ 07105-2711
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
28RS00441700
NJ
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3120336
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
4283805
—
NJ
Enumeration date
12/06/2006
Last updated
06/17/2008
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