Provider Demographics
NPI:1104040278
Name:CHOHAN, GHAZALA SHAHID (RPH PHARMACIST)
Entity Type:Individual
Prefix:
First Name:GHAZALA
Middle Name:SHAHID
Last Name:CHOHAN
Suffix:
Gender:F
Credentials:RPH PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 STRAWBERRY LN
Mailing Address - Street 2:
Mailing Address - City:UPPER SADDLE RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:07458-1600
Mailing Address - Country:US
Mailing Address - Phone:201-339-0405
Mailing Address - Fax:201-339-2473
Practice Address - Street 1:924 BROADWAY
Practice Address - Street 2:
Practice Address - City:BAYONNE
Practice Address - State:NJ
Practice Address - Zip Code:07002-3034
Practice Address - Country:US
Practice Address - Phone:201-339-0405
Practice Address - Fax:201-339-2473
Is Sole Proprietor?:No
Enumeration Date:2007-04-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI02179500183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist