Provider Demographics
NPI:1033324983
Name:MOSOWITZ, HARRIET L (RPH)
Entity Type:Individual
Prefix:
First Name:HARRIET
Middle Name:L
Last Name:MOSOWITZ
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 CRESTED BUTTE CT
Mailing Address - Street 2:
Mailing Address - City:SHAMONG
Mailing Address - State:NJ
Mailing Address - Zip Code:08088-8224
Mailing Address - Country:US
Mailing Address - Phone:609-268-7309
Mailing Address - Fax:609-268-7356
Practice Address - Street 1:12 CRESTED BUTTE CT
Practice Address - Street 2:
Practice Address - City:SHAMONG
Practice Address - State:NJ
Practice Address - Zip Code:08088-8224
Practice Address - Country:US
Practice Address - Phone:609-268-7309
Practice Address - Fax:609-268-7356
Is Sole Proprietor?:No
Enumeration Date:2007-05-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI01698700183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist