Provider Demographics
NPI:1922380179
Name:NASTOSKI, VLADIMIR (RPH)
Entity Type:Individual
Prefix:MR
First Name:VLADIMIR
Middle Name:
Last Name:NASTOSKI
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:80 IRVING PL
Mailing Address - Street 2:
Mailing Address - City:GARFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07026-1241
Mailing Address - Country:US
Mailing Address - Phone:973-340-5574
Mailing Address - Fax:
Practice Address - Street 1:342 CLAREMONT AVE
Practice Address - Street 2:
Practice Address - City:VERONA
Practice Address - State:NJ
Practice Address - Zip Code:07044-2140
Practice Address - Country:US
Practice Address - Phone:973-559-0901
Practice Address - Fax:973-559-0903
Is Sole Proprietor?:No
Enumeration Date:2011-09-14
Last Update Date:2011-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI03113000183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist