MEDICARE: FARHAD DARUWALA

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	183500000X	Pharmacist	28RI02778800	NJ

General Provider Information

NPI Number	:	1568757615
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FARHAD DARUWALA

Provider Business Mailing Address
First Line	:	22 STATE ST
Second Line	:
City	:	MAHWAH
State	:	NJ
Zip	:	07430-1173
Country	:	US
Telephone Number	:	201-252-8456
Fax Number	:

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	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/16/2011
Last Update Date	:	10/12/2016

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Directions to “ FARHAD DARUWALA ” Practice Location

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