Healthcare Provider Details

I. General information

NPI: 1306867361
Provider Name (Legal Business Name): AR EX PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2006
Last Update Date: 07/28/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

370 NEW BRUNSWICK AVE
FORDS NJ
08863-2141
US

IV. Provider business mailing address

370 NEW BRUNSWICK AVE
FORDS NJ
08863-2141
US

V. Phone/Fax

Practice location:
  • Phone: 732-738-1085
  • Fax: 732-738-1068
Mailing address:
  • Phone: 732-738-1085
  • Fax: 732-738-1068

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number28RS00652000
License Number StateNJ

VIII. Authorized Official

Name: ANIL DATWANI
Title or Position: PRESIDENT
Credential: PHARMD
Phone: 732-738-1085