Provider Demographics
NPI:1104177856
Name:GHOGRE, NEHA S (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:NEHA
Middle Name:S
Last Name:GHOGRE
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44 CENTER GROVE RD
Mailing Address - Street 2:APT R-21
Mailing Address - City:RANDOLPH
Mailing Address - State:NJ
Mailing Address - Zip Code:07869-4450
Mailing Address - Country:US
Mailing Address - Phone:973-979-5346
Mailing Address - Fax:
Practice Address - Street 1:100 E MCFARLAN ST
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:NJ
Practice Address - Zip Code:07801-3552
Practice Address - Country:US
Practice Address - Phone:973-328-1355
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-09-20
Last Update Date:2012-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI03519600183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist