Healthcare Provider Details
I. General information
NPI: 1447224670
Provider Name (Legal Business Name): SHARON YUHAS REGISTERD PHARMACIST
Entity Type: Individual
Gender: Female
Sole Proprietor: X
II. Dates (important events)
Enumeration Date: 02/15/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2909 WASHINGTON RD
PARLIN NJ
08859-1513
US
IV. Provider business mailing address
6 ANDREW CT
SOUTH AMBOY NJ
08879-2282
US
V. Phone/Fax
- Phone: 732-525-0834
- Fax: 732-525-1279
- Phone: 732-721-1185
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 183500000X |
| Taxonomy | Pharmacist |
| License Number | 28RI01533700 |
| License Number State | NJ |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: