Provider Demographics
NPI:1043420409
Name:MEJIA, FRANCISCO P (PHARMACIST)
Entity Type:Individual
Prefix:
First Name:FRANCISCO
Middle Name:P
Last Name:MEJIA
Suffix:
Gender:M
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:962 SHERMAN AVE
Mailing Address - Street 2:
Mailing Address - City:ELIZABETH
Mailing Address - State:NJ
Mailing Address - Zip Code:07208-3526
Mailing Address - Country:US
Mailing Address - Phone:908-289-0443
Mailing Address - Fax:908-289-0445
Practice Address - Street 1:962 SHERMAN AVE
Practice Address - Street 2:
Practice Address - City:ELIZABETH
Practice Address - State:NJ
Practice Address - Zip Code:07208-3526
Practice Address - Country:US
Practice Address - Phone:908-289-0443
Practice Address - Fax:908-289-0445
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI01807500183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist