Healthcare Provider Details

I. General information

NPI: 1386644870
Provider Name (Legal Business Name): RIAAN RX INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/26/2005
Last Update Date: 09/19/2023
Certification Date: 09/19/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

349 FRANKLIN AVE
NUTLEY NJ
07110-4004
US

IV. Provider business mailing address

349 FRANKLIN AVE
NUTLEY NJ
07110-4004
US

V. Phone/Fax

Practice location:
  • Phone: 973-667-1003
  • Fax: 973-667-2282
Mailing address:
  • Phone: 973-667-1003
  • Fax: 973-667-2282

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number StateNJ

VIII. Authorized Official

Name: NARENDRAKUMAR PATEL
Title or Position: OWNER
Credential: PHARM.D
Phone: 201-912-1660