Individual
MAYURKUMAR M RANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
KOMISHANE'S PHARMACY, 199 STUYVESANT AVE, NEWAK, NJ 07106
(973) 399-0900
Mailing address
8 PLEASANT AVE, CLIFTON, NJ 07013-2109
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI03947300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28RI03947300
NJ STATE BOARD OF PHARMACY
NJ
Enumeration date
12/07/2018
Last updated
10/30/2020
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