Provider Demographics
NPI:1558961433
Name:KOZARSKI, CHRYSTI (PHARMD)
Entity Type:Individual
Prefix:
First Name:CHRYSTI
Middle Name:
Last Name:KOZARSKI
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 1:6147 GOLDFINCH DR
Mailing Address - Street 2:
Mailing Address - City:MAYS LANDING
Mailing Address - State:NJ
Mailing Address - Zip Code:08330-3410
Mailing Address - Country:US
Mailing Address - Phone:609-992-4040
Mailing Address - Fax:609-415-6351
Practice Address - Street 1:6801 BLACK HORSE PIKE STE 100
Practice Address - Street 2:
Practice Address - City:EGG HARBOR TOWNSHIP
Practice Address - State:NJ
Practice Address - Zip Code:08234-4120
Practice Address - Country:US
Practice Address - Phone:609-415-6352
Practice Address - Fax:609-415-6352
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-29
Last Update Date:2020-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI03581200183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist