Healthcare Provider Details

I. General information

NPI: 1326083536
Provider Name (Legal Business Name): SAINT MICHAEL PHARMACEUTICALS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/19/2006
Last Update Date: 01/21/2023
Certification Date: 10/01/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

505 MILLTOWN RD
N BRUNSWICK NJ
08902-3326
US

IV. Provider business mailing address

505 MILLTOWN RD
N BRUNSWICK NJ
08902-3326
US

V. Phone/Fax

Practice location:
  • Phone: 732-247-2333
  • Fax: 732-247-2221
Mailing address:
  • Phone: 732-247-2333
  • Fax: 732-247-2221

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WD0400X
TaxonomyDiabetes Educator Registered Nurse
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number28RS00660000
License Number StateNJ
# 4
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State

VIII. Authorized Official

Name: AHAB AYAD
Title or Position: OWNER/PIC/AO
Credential: RPH
Phone: 732-247-2333