Individual
ASHRAF M BASTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
54 MAIN ST, SOUTH RIVER, NJ 08882-1225
(732) 257-0069
(732) 257-3250
Mailing address
54 MAIN ST, SOUTH RIVER, NJ 08882-1225
(732) 257-0069
(732) 257-3250
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RS00531800
NJ
Other
Enumeration date
01/26/2007
Last updated
07/08/2007
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