Provider Demographics
NPI:1184143687
Name:CHLONE INC
Entity type:Organization
Organization Name:CHLONE INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHARMACIST
Authorized Official - Prefix:MR
Authorized Official - First Name:HARRY
Authorized Official - Middle Name:
Authorized Official - Last Name:JOSWICK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-636-0011
Mailing Address - Street 1:458 AMBOY AVE
Mailing Address - Street 2:
Mailing Address - City:WOODBRIDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07095-2948
Mailing Address - Country:US
Mailing Address - Phone:732-636-0011
Mailing Address - Fax:
Practice Address - Street 1:458 AMBOY AVE
Practice Address - Street 2:
Practice Address - City:WOODBRIDGE
Practice Address - State:NJ
Practice Address - Zip Code:07095-2948
Practice Address - Country:US
Practice Address - Phone:732-636-0011
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-15
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ8816115Medicaid