Provider Demographics
NPI:1285887455
Name:ACUTECARE HEALTH SYSTEM- PHARMACY DEPT.
Entity type:Organization
Organization Name:ACUTECARE HEALTH SYSTEM- PHARMACY DEPT.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:CZERMAK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-364-0800
Mailing Address - Street 1:681 RIVER AVE
Mailing Address - Street 2:SUITE 2B
Mailing Address - City:LAKEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08701-5229
Mailing Address - Country:US
Mailing Address - Phone:732-364-0800
Mailing Address - Fax:732-364-0846
Practice Address - Street 1:600 RIVER AVE
Practice Address - Street 2:SUITE G0120
Practice Address - City:LAKEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08701-5237
Practice Address - Country:US
Practice Address - Phone:732-886-4956
Practice Address - Fax:732-886-4932
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ACUTECARE HEALTH SYSTEM, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-10-31
Last Update Date:2008-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RS00684400183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty