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NPI Code Detail

MEDICARE: OHM SHIVAY, INC.

MEDICARE: OHM SHIVAY, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1333600000XPharmacy28RS00590800NJ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1104805845
Entity Type Code : Organization
Provider Name (Legal Business Name) : OHM SHIVAY, INC.
Provider Business Mailing Address
First Line : 345 UNION HILL RD
Second Line :
City : MANALAPAN
State : NJ
Zip : 07726-1875
Country : US
Telephone Number : 732-536-4705
Fax Number :
Provider Business Practice Location Address
First Line : 345 UNION HILL RD
Second Line :
City : MANALAPAN
State : NJ
Zip : 07726-1875
Country : US
Telephone Number : 732-536-4705
Fax Number :
Authorized Official
Title or Position : MANAGER
Name : MR. AJAY PATEL
Credential : R.P.
Telephone Number : 732-536-4705
Provider Enumeration Date : 01/11/2006
Last Update Date : 06/05/2009

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Directions to “OHM SHIVAY, INC. ” Practice Location

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