MEDICARE: FARHAD AND BRIJAL LLC

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
1	3336L0003X	Long Term Care Pharmacy

General Provider Information

NPI Number	:	1215883160
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FARHAD AND BRIJAL LLC

Provider Business Mailing Address
First Line	:	2075 HAMBURG TPKE STE 2A
Second Line	:
City	:	WAYNE
State	:	NJ
Zip	:	07470-6293
Country	:	US
Telephone Number	:	973-513-9940
Fax Number	:	973-513-9941

Provider Business Practice Location Address
First Line	:	2075 HAMBURG TPKE STE 2A
Second Line	:
City	:	WAYNE
State	:	NJ
Zip	:	07470-6293
Country	:	US
Telephone Number	:	973-513-9940
Fax Number	:	973-513-9941

Authorized Official
Title or Position	:	MANAGING MEMBER
Name	:	FARHAD DARUWALA
Credential	:	RPH
Telephone Number	:	973-513-9940

Provider Enumeration Date	:	03/04/2026
Last Update Date	:	03/04/2026

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