Provider Demographics
NPI:1366446387
Name:BLIACH, JULIUS E (RPH)
Entity Type:Individual
Prefix:MR
First Name:JULIUS
Middle Name:E
Last Name:BLIACH
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 1:4 ENDICOTT LN
Mailing Address - Street 2:
Mailing Address - City:WEST WINDSOR
Mailing Address - State:NJ
Mailing Address - Zip Code:08550-2910
Mailing Address - Country:US
Mailing Address - Phone:609-799-2924
Mailing Address - Fax:201-866-8254
Practice Address - Street 1:5222 BERGENLINE AVE
Practice Address - Street 2:
Practice Address - City:WEST NEW YORK
Practice Address - State:NJ
Practice Address - Zip Code:07093-5524
Practice Address - Country:US
Practice Address - Phone:609-799-2924
Practice Address - Fax:201-866-8254
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-06-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI01902600183500000X
NY037355-1183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist