Provider Demographics
NPI:1407273055
Name:MARKANOVIC, SILVIJA (PHARMD)
Entity Type:Individual
Prefix:
First Name:SILVIJA
Middle Name:
Last Name:MARKANOVIC
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:191 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:LITTLE FERRY
Mailing Address - State:NJ
Mailing Address - Zip Code:07643-1514
Mailing Address - Country:US
Mailing Address - Phone:201-641-7200
Mailing Address - Fax:201-641-2939
Practice Address - Street 1:191 MAIN ST
Practice Address - Street 2:
Practice Address - City:LITTLE FERRY
Practice Address - State:NJ
Practice Address - Zip Code:07643-1514
Practice Address - Country:US
Practice Address - Phone:201-641-7200
Practice Address - Fax:201-641-2939
Is Sole Proprietor?:No
Enumeration Date:2014-03-20
Last Update Date:2014-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI0358300183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist