Provider Demographics
NPI:1083855035
Name:KALARIA, BIPIN (RPH)
Entity Type:Individual
Prefix:
First Name:BIPIN
Middle Name:
Last Name:KALARIA
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:217 SUNSET RD
Mailing Address - Street 2:
Mailing Address - City:WILLINGBORO
Mailing Address - State:NJ
Mailing Address - Zip Code:08046-1109
Mailing Address - Country:US
Mailing Address - Phone:609-877-0700
Mailing Address - Fax:609-877-1396
Practice Address - Street 1:217 SUNSET RD
Practice Address - Street 2:
Practice Address - City:WILLINGBORO
Practice Address - State:NJ
Practice Address - Zip Code:08046-1109
Practice Address - Country:US
Practice Address - Phone:609-877-0700
Practice Address - Fax:609-877-1396
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-19
Last Update Date:2009-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI02183800183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist