Provider Demographics
NPI:1972915445
Name:REIZIS, KLARA (PHARM D)
Entity type:Individual
Prefix:MS
First Name:KLARA
Middle Name:
Last Name:REIZIS
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33-41 NEWARK ST
Mailing Address - Street 2:2B
Mailing Address - City:HOBOKEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07030-5627
Mailing Address - Country:US
Mailing Address - Phone:201-420-9000
Mailing Address - Fax:201-420-4040
Practice Address - Street 1:33-41 NEWARK ST
Practice Address - Street 2:2B
Practice Address - City:HOBOKEN
Practice Address - State:NJ
Practice Address - Zip Code:07030-5627
Practice Address - Country:US
Practice Address - Phone:201-420-9000
Practice Address - Fax:201-420-4040
Is Sole Proprietor?:No
Enumeration Date:2014-06-02
Last Update Date:2014-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI03616200183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist