Active NPIIndividual providerSole proprietor

Amanda B Maciag, PHARMD

Pharmacist in Lodi, New Jersey

NPI Number1760908693
Practice location
105 Terhune Ave, Lodi, NJ 07644-2805
Fax
973-473-8387
Last updated
August 22, 2017

Amanda Beth Maciag is a Pharmacist based in Lodi, NJ. Amanda Beth Maciag practices in Lodi, NJ and has the professional credentials of PHARMD. The NPI Number for Amanda Beth Maciag is 1760908693 and holds a License No. 28RI03869700 (NJ). The current practice location address for Amanda Beth Maciag is 105 Terhune Ave, Lodi, NJ 07644-2805 and can be reached out via phone at 973-473-2243 and via fax at 973-473-8387.

Provider Profile Details

NPI Number
1760908693
Provider Name
Amanda Beth Maciag
Credential
PHARMD
Provider Entity Type
Individual
Gender
Female
Address
105 Terhune Ave, Lodi, NJ 07644-2805
Phone Number
973-473-2243
Fax Number
973-473-8387
Primary Taxonomy
Pharmacist · 183500000X
Sole Proprietor
Yes
Provider Enumeration Date
August 22, 2017
Last Update Date
August 22, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
105 Terhune Ave
Lodi, NJ 07644-2805
City
Lodi
Zip
07644-2805
Phone Number
973-473-2243
Fax Number
973-473-8387
Lodi, NJ 07644Get directions →

Provider Business Mailing Address Details

Address
70 Woodward Ave
Rutherford, NJ 07070-2212
City
Rutherford
State
NJ
Zip
07070-2212

License Information

License Number
28RI03869700
License State
NJ
Taxonomy
Pharmacist · 183500000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Amanda B Maciag, PHARMD?

The NPI number of Amanda B Maciag, PHARMD is 1760908693. It was assigned on August 22, 2017 and is currently active in the NPPES registry.

What is the specialty of Amanda B Maciag, PHARMD?

Amanda B Maciag, PHARMD is registered under the primary taxonomy Pharmacist (code 183500000X), licensed in NJ under license number 28RI03869700.

Where does Amanda B Maciag, PHARMD practice?

The practice location is 105 Terhune Ave, Lodi, NJ 07644-2805. The office can be reached at 973-473-2243 (phone) or 973-473-8387 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1760908693 directly on the NPPES registry website.

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