Healthcare Provider Details

I. General information

NPI: 1801900105
Provider Name (Legal Business Name): HOWLIN ENTERPRISES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/17/2006
Last Update Date: 10/17/2020
Certification Date: 10/17/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

595 VAN HOUTEN AVE
CLIFTON NJ
07013-2113
US

IV. Provider business mailing address

595 VAN HOUTEN AVE
CLIFTON NJ
07013-2113
US

V. Phone/Fax

Practice location:
  • Phone: 973-777-2428
  • Fax: 973-777-8745
Mailing address:
  • Phone: 973-777-2428
  • Fax: 973-777-8745

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number28RS00341000
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number28RS00341000
License Number StateNJ

VIII. Authorized Official

Name: PURNENDU P RAVAL
Title or Position: OWNER
Credential: PHARM D.
Phone: 973-925-7757