Individual
ABDULRAHMAN RAHMAN ALJETAWI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1145 MAIN AVE, CLIFTON, NJ 07011-2353
(973) 900-6660
(888) 490-5575
Mailing address
94 PANCAKE HOLLOW DR, WAYNE, NJ 07470-3205
(862) 400-7075
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
28RI03867700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28RI03867700
RPH - NJ BOARD OF PHARMACY
NJ
01
—
28RJ08667
IMMUNIZATION APPROVAL
NJ
Enumeration date
12/10/2020
Last updated
12/10/2020
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