Kaczka, Gary Keith

Kaczka, Gary Keith is an sole proprietor health care provider with primary practice located at 1 Nepote Pl , Somerset NJ 08873-3478. He recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Pharmacy Service Providers / Geriatric. Pharmacy Service Providers / Pharmacist is his primary health care specialty. Kaczka, Gary Keith can be contacted via phone (732) 208-0415.

Contact Information

Primary practice address
1 Nepote Pl Somerset NJ 08873-3478
Phone: (732) 208-0415
Fax: (732) 873-0465
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 28RI01937000 New Jersey
Pharmacy Service Providers / Geriatric 1835G0303X New Jersey

Profile Details

NPI number 1790817534
LBN Legal business name Kaczka, Gary Keith
Credentials R.PH, CCP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 9th, 2007
Last updated Jul 21st, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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