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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
13336C0003XCommunity/Retail Pharmacy28RS00590800NJ

General Provider Information

NPI Number : 1457443194
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. NITIN KHANDWALA
Credential : R.P.
Telephone Number : 732-536-4705
Provider Enumeration Date : 09/29/2006
Last Update Date : 08/22/2020

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