Eric Duteau
Individual provider Active NPI Pharmacist · Flanders, NJ
NPI 1942802186 · NPPES record last updated Nov 12, 2020
Key facts
- NPI
- 1942802186
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 28RI02476500 (NJ)
- Practice address
- 40 International Dr S
Flanders, NJ 07836-4106 - Phone
- (973) 347-8060
- Fax
- (973) 347-8695
- NPI assigned
- Nov 12, 2020
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28RI02476500 | NJ | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 28RI02476500 | NJ | Yes |
Addresses
Primary practice location
40 International Dr S
Flanders, NJ 07836-4106
Mailing address
40 International Dr S
Flanders, NJ 07836-4199
Phone (973) 347-8060
Other providers in Flanders, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 12, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.