Provider Demographics
NPI:1245416924
Name:SALAZAR, BETZLY J (CPHT)
Entity Type:Individual
Prefix:MISS
First Name:BETZLY
Middle Name:J
Last Name:SALAZAR
Suffix:
Gender:F
Credentials:CPHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40 GORDON DR
Mailing Address - Street 2:
Mailing Address - City:TOTOWA
Mailing Address - State:NJ
Mailing Address - Zip Code:07512-2204
Mailing Address - Country:US
Mailing Address - Phone:973-256-5400
Mailing Address - Fax:973-256-3780
Practice Address - Street 1:40 GORDON DR
Practice Address - Street 2:
Practice Address - City:TOTOWA
Practice Address - State:NJ
Practice Address - Zip Code:07512-2204
Practice Address - Country:US
Practice Address - Phone:973-256-5400
Practice Address - Fax:973-256-3780
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-13
Last Update Date:2008-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician