Provider Demographics
NPI:1073829016
Name:ROFAIL, MINA (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:MINA
Middle Name:
Last Name:ROFAIL
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:82 W 27TH ST
Mailing Address - Street 2:APT 3
Mailing Address - City:BAYONNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07002-2719
Mailing Address - Country:US
Mailing Address - Phone:551-208-6874
Mailing Address - Fax:
Practice Address - Street 1:82 WEST 27TH STREET
Practice Address - Street 2:APT 3
Practice Address - City:BAYONNE
Practice Address - State:NJ
Practice Address - Zip Code:07002
Practice Address - Country:US
Practice Address - Phone:551-208-6874
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-27
Last Update Date:2010-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY20 053592183500000X
NJ28RI03319400183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist