Liliana Bosefski, RPH

Individual provider Active NPI Pharmacist · West Milford, NJ

NPI 1255630331 · NPPES record last updated Mar 15, 2011

Key facts

NPI
1255630331
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
28RI02519300 (NJ)
Practice address
1502 Union Valley Rd
West Milford, NJ 07480-1354
Phone
(973) 728-3172
Fax
(973) 728-3257
NPI assigned
Mar 15, 2011
Sex
Female
Sole proprietor
Yes

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
28RI02519300NJMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co Past
since Mar 27, 2022
Accepting new patients
Walgreen Co Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 28RI02519300 NJ Yes

Addresses

Primary practice location

1502 Union Valley Rd
West Milford, NJ 07480-1354

Mailing address

125 Miller Rd
Kinnelon, NJ 07405-3005
Phone (201) 452-4779

Other providers in West Milford, NJ

All providers in West Milford, NJ · Pharmacist in New Jersey

Sources for this page

Verify at the official NPI Registry.