MEDICARE: DR. HILDA KAZANJIAN PHARMACIST

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	183500000X	Pharmacist	28RI02829400	NJ

General Provider Information

NPI Number	:	1881977510
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HILDA KAZANJIAN PHARMACIST

Provider Business Mailing Address
First Line	:	2247 OCEAN HEIGHTS AVE
Second Line	:
City	:	EGG HARBOR TOWNSHIP
State	:	NJ
Zip	:	08234-5933
Country	:	US
Telephone Number	:	609-926-0283
Fax Number	:	609-926-4509

Provider Business Practice Location Address
First Line	:	2247 OCEAN HEIGHTS AVE
Second Line	:
City	:	EGG HARBOR TOWNSHIP
State	:	NJ
Zip	:	08234-5933
Country	:	US
Telephone Number	:	609-926-0283
Fax Number	:	609-926-4509

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/20/2011
Last Update Date	:	09/20/2011

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