Healthcare Provider Details

I. General information

NPI: 1386552917
Provider Name (Legal Business Name): SANA CHAWLA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/01/2026
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 N WHITE HORSE PIKE
MAGNOLIA NJ
08049-1466
US

IV. Provider business mailing address

125 KIRKBRIDE RD APT 8
VOORHEES NJ
08043-1857
US

V. Phone/Fax

Practice location:
  • Phone: 856-782-2237
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number28RI04517700
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: