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Individual

ASHRAF ASHAMALLA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
R.PH.

Contact information

Practice address
651 BROADWAY, BAYONNE, NJ 07002-4710
(201) 339-1200
(201) 339-1144
Mailing address
101 DUTCH RD, EAST BRUNSWICK, NJ 08816-2507
(201) 993-0978
(201) 339-1144

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
046995-1
NY
183500000X
Pharmacist
28RI028217
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
046995-1
STATE LICENSE
NY
01
28RI028217
STATE LICENSE
NJ
Enumeration date
11/29/2007
Last updated
11/23/2021
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