Organization
ME AND HIM
Active
Other names
Hiawatha Pharmacy Dept.
Organization subpart
No
Provider details
NPI number
Authorized official
ATTA REHMAN PHARMD (PHARMACIST-IN-CHARGE)
(862) 600-7856
Entity
Organization
Contact information
Practice address
435 N BEVERWYCK RD, LAKE HIAWATHA, NJ 07034-2510
(973) 794-4909
(973) 794-4910
Mailing address
435 N BEVERWYCK RD, LAKE HIAWATHA, NJ 07034-2510
(973) 794-4909
(973) 794-4910
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
28RS00700900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3196727
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
01/12/2010
Last updated
02/18/2016
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