Provider Demographics
NPI:1871262816
Name:HUZOVIC, CARLA J (PHARMD)
Entity Type:Individual
Prefix:MRS
First Name:CARLA
Middle Name:J
Last Name:HUZOVIC
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 1:685 ROESSNER DR
Mailing Address - Street 2:
Mailing Address - City:UNION
Mailing Address - State:NJ
Mailing Address - Zip Code:07083-8725
Mailing Address - Country:US
Mailing Address - Phone:908-419-0050
Mailing Address - Fax:
Practice Address - Street 1:93 MARKET ST
Practice Address - Street 2:
Practice Address - City:PASSAIC
Practice Address - State:NJ
Practice Address - Zip Code:07055-7502
Practice Address - Country:US
Practice Address - Phone:973-955-4950
Practice Address - Fax:973-955-4951
Is Sole Proprietor?:No
Enumeration Date:2021-09-13
Last Update Date:2021-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI02897300183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist