Healthcare Provider Details

I. General information

NPI: 1962723536
Provider Name (Legal Business Name): ARUNIMA KAMTHAN RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/18/2010
Last Update Date: 06/18/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

151 ROUTE 94 RITE AID STORE #10427
BLAIRSTOWN NJ
07825
US

IV. Provider business mailing address

41 OAKWOOD VILLAGE APT #11
FLANDERS NJ
07836
US

V. Phone/Fax

Practice location:
  • Phone: 908-362-6963
  • Fax:
Mailing address:
  • Phone: 908-362-6963
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number28RI03207200
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: