Healthcare Provider Details

I. General information

NPI: 1871907428
Provider Name (Legal Business Name): ROSHANI VACHHANI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/11/2014
Last Update Date: 11/06/2024
Certification Date: 11/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6 VREELAND RD STE 103
FLORHAM PARK NJ
07932-1501
US

IV. Provider business mailing address

6 VREELAND RD STE 103
FLORHAM PARK NJ
07932-1501
US

V. Phone/Fax

Practice location:
  • Phone: 973-597-0444
  • Fax:
Mailing address:
  • Phone: 973-863-7342
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number28RI03379100
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: