MEDICARE: FARHAD AND BRIJAL LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies
2	333600000X	Pharmacy	28RS00715800	NJ
3	3336C0004X	Compounding Pharmacy
4	3336M0002X	Mail Order Pharmacy
5	3336C0003X	Community/Retail Pharmacy

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	2130846	OTHER		PK

General Provider Information

NPI Number	:	1356636401
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FARHAD AND BRIJAL LLC

Provider Business Mailing Address
First Line	:	2075 HAMBURG TPKE STE 2A
Second Line	:
City	:	WAYNE
State	:	NJ
Zip	:	07470-6293
Country	:	US
Telephone Number	:	973-513-9940
Fax Number	:	973-513-9941

Provider Business Practice Location Address
First Line	:	2075 HAMBURG TPKE STE 2A
Second Line	:
City	:	WAYNE
State	:	NJ
Zip	:	07470-6293
Country	:	US
Telephone Number	:	973-513-9940
Fax Number	:	973-513-9941

Authorized Official
Title or Position	:	PHARMACIST IN CHARGE
Name	:	FARHAD DARUWALA
Credential	:
Telephone Number	:	973-513-9940

Provider Enumeration Date	:	06/16/2011
Last Update Date	:	03/22/2022

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Directions to “FARHAD AND BRIJAL LLC ” Practice Location

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