Provider Demographics
NPI:1275107427
Name:ZITO, DARREN M (RPH)
Entity Type:Individual
Prefix:
First Name:DARREN
Middle Name:M
Last Name:ZITO
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 1:319 UELAND RD
Mailing Address - Street 2:
Mailing Address - City:RED BANK
Mailing Address - State:NJ
Mailing Address - Zip Code:07701-5272
Mailing Address - Country:US
Mailing Address - Phone:732-500-1372
Mailing Address - Fax:
Practice Address - Street 1:319 UELAND RD
Practice Address - Street 2:
Practice Address - City:RED BANK
Practice Address - State:NJ
Practice Address - Zip Code:07701-5272
Practice Address - Country:US
Practice Address - Phone:732-500-1372
Practice Address - Fax:732-936-0341
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-13
Last Update Date:2021-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI02157400183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ28RI02157400OtherNJ PHARMACY LICENSE