Provider Demographics
NPI:1699053322
Name:VELTRI, SAM N
Entity type:Individual
Prefix:
First Name:SAM
Middle Name:N
Last Name:VELTRI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:SAM
Other - Middle Name:N
Other - Last Name:VELTRI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RPH
Mailing Address - Street 1:1811 QUIMBY LN
Mailing Address - Street 2:
Mailing Address - City:SCOTCH PLAINS
Mailing Address - State:NJ
Mailing Address - Zip Code:07076-4715
Mailing Address - Country:US
Mailing Address - Phone:908-232-9193
Mailing Address - Fax:
Practice Address - Street 1:70 JACKSON DRIVE
Practice Address - Street 2:PARTNERS PHARMACY
Practice Address - City:CRANFORD
Practice Address - State:NJ
Practice Address - Zip Code:07016
Practice Address - Country:US
Practice Address - Phone:908-931-9111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-07-29
Last Update Date:2011-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI01446500183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist