1598063893 NPI number — RUCHI D RAWAL PHARMACY TECHNICIAN

Table of content: RUCHI D RAWAL PHARMACY TECHNICIAN (NPI 1598063893)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1598063893 NPI number — RUCHI D RAWAL PHARMACY TECHNICIAN

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
RAWAL
Provider First Name:
RUCHI
Provider Middle Name:
D
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
PHARMACY TECHNICIAN
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1598063893
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/10/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1100 PARSIPPANY BLVD
Provider Second Line Business Mailing Address:
APT#206
Provider Business Mailing Address City Name:
PARSIPPANY
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
07054-1851
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
908-444-1221
Provider Business Mailing Address Fax Number:
973-983-5684

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
66 FORD RD
Provider Second Line Business Practice Location Address:
SUITE 230
Provider Business Practice Location Address City Name:
DENVILLE
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07834-1379
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
973-983-6300
Provider Business Practice Location Address Fax Number:
973-983-5684
Provider Enumeration Date:
03/10/2011

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 183700000X , with the licence number:  28RW01503900 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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