Provider Demographics
NPI:1053443622
Name:OLECHOWSKI, ROBERT J (RPH)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:J
Last Name:OLECHOWSKI
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:399 WILLARD RD
Mailing Address - Street 2:
Mailing Address - City:PARAMUS
Mailing Address - State:NJ
Mailing Address - Zip Code:07652-4628
Mailing Address - Country:US
Mailing Address - Phone:973-992-4050
Mailing Address - Fax:
Practice Address - Street 1:568 S LIVINGSTON AVE
Practice Address - Street 2:
Practice Address - City:LIVINGSTON
Practice Address - State:NJ
Practice Address - Zip Code:07039-5411
Practice Address - Country:US
Practice Address - Phone:973-992-4050
Practice Address - Fax:973-992-7601
Is Sole Proprietor?:No
Enumeration Date:2007-03-09
Last Update Date:2011-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI02662700183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist