Provider Demographics
NPI:1578997748
Name:MIZERAK, VERONICA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:VERONICA
Middle Name:
Last Name:MIZERAK
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 1:55 CORPORATE DR
Mailing Address - Street 2:
Mailing Address - City:BRIDGEWATER
Mailing Address - State:NJ
Mailing Address - Zip Code:08807-1265
Mailing Address - Country:US
Mailing Address - Phone:908-306-8904
Mailing Address - Fax:
Practice Address - Street 1:55 CORPORATE DR
Practice Address - Street 2:
Practice Address - City:BRIDGEWATER
Practice Address - State:NJ
Practice Address - Zip Code:08807-1265
Practice Address - Country:US
Practice Address - Phone:908-306-8904
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-23
Last Update Date:2022-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI03583500183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist