Individual
AYMAN S SHENODA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
217 HARRISON ST, NUTLEY, NJ 07110-2637
(973) 667-5773
Mailing address
124 SUSSEX ST APT D, WESTFIELD, NJ 07090-1515
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
065023
NY
183500000X
Pharmacist
Primary
28RI03758800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
065023
NY BOARD OF PHARMACY
NY
01
—
28RI03758800
NJ BOARD OF PHARMACY
NJ
Enumeration date
11/21/2018
Last updated
11/21/2018
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