Provider Demographics
NPI:1598078461
Name:GARLEWICZ, JEFFREY EMIL (RPH, MBA)
Entity Type:Individual
Prefix:MR
First Name:JEFFREY
Middle Name:EMIL
Last Name:GARLEWICZ
Suffix:
Gender:M
Credentials:RPH, MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:811 CLINTON ST
Mailing Address - Street 2:
Mailing Address - City:HOBOKEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07030-2901
Mailing Address - Country:US
Mailing Address - Phone:201-420-4825
Mailing Address - Fax:
Practice Address - Street 1:811 CLINTON ST
Practice Address - Street 2:
Practice Address - City:HOBOKEN
Practice Address - State:NJ
Practice Address - Zip Code:07030-2901
Practice Address - Country:US
Practice Address - Phone:201-420-4825
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-07-21
Last Update Date:2010-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI02793700183500000X
NY051407183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist