Provider Demographics
NPI:1306449624
Name:OSTROVSKY, ILANA (RPH)
Entity type:Individual
Prefix:
First Name:ILANA
Middle Name:
Last Name:OSTROVSKY
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33 BARCHESTER WAY
Mailing Address - Street 2:
Mailing Address - City:WESTFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07090-3747
Mailing Address - Country:US
Mailing Address - Phone:908-797-4655
Mailing Address - Fax:908-301-2876
Practice Address - Street 1:315 NORTH AVE
Practice Address - Street 2:
Practice Address - City:GARWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07027-1001
Practice Address - Country:US
Practice Address - Phone:908-301-2871
Practice Address - Fax:908-301-2876
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-19
Last Update Date:2020-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI02443400183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist