Healthcare Provider Details

I. General information

NPI: 1710813704
Provider Name (Legal Business Name): VAKIL APOTHECARY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/18/2026
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2168 MILLBURN AVE STE 105
MAPLEWOOD NJ
07040-2670
US

IV. Provider business mailing address

2168 MILLBURN AVE STE 105
MAPLEWOOD NJ
07040-2670
US

V. Phone/Fax

Practice location:
  • Phone: 973-763-5252
  • Fax: 973-763-9585
Mailing address:
  • Phone: 973-763-5252
  • Fax: 973-763-9585

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: DR. MINA SIDHOM
Title or Position: PHARMACIST IN CHARGE
Credential: PHARMD
Phone: 973-973-5252